Mono-ring culotte stenting for true coronary bifurcation lesions
10.3969/j.issn.1004-8812.2016.02.002
- VernacularTitle:单环 Culotte 支架术处理真性冠状动脉分叉病变
- Author:
Lianglong CHEN
;
Lin FAN
;
Wenliang ZHONG
;
Linlin ZHANG
;
Zhaoyang CHEN
;
Wei CAI
;
Yukun LUO
;
Chaogui LIN
;
Yafei PENG
;
Xingchun ZHENG
;
Xianfeng DONG
- Publication Type:Journal Article
- Keywords:
Bifurcation lesions;
Percutaneous coronary intervention;
Culotte stenting
- From:
Chinese Journal of Interventional Cardiology
2016;24(2):68-73
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report our first clinical experience with a novel modified culotte technique for the treatment of true coronary bifurcation lesions. Methods The novel modified culotte technique (the mono-ring culotte) stenting was done in which the side branch (SB) stent was deployed firstly followed by ex vivo wiring of a most proximal cell of SB stent with the hard end of main branch (MB) wire. Secondly, the MB stent was deployed through the most proximal cell of SB stent. The procedure was ended with kissing balloon dilation. From June 2014 to March 2015, 15 patients with true coronary bifurcation lesion were treated with mono-ring culotte stenting in our center. Results The procedures were successful in all cases without procedural complication and in-hospital major adverse cardiovascular events. The procedural time was (34. 3 ± 9. 6) min, fluoroscopic time was (18. 1 ± 3. 8) min, and contrast volume was (112. 0 ± 24. 5) ml, respectively. Post-procedurally, the residual stenosis of the main and the side branch were (10. 0 ± 2. 5)% and (10. 2 ± 5. 3)% , respectively. Conclusions The mono-ring culotte stenting is safe and feasible for treatment of true coronary bifurcation lesions, and may be superior to the conventional culotte stenting.
