Jailing a good size SB can lead to lifelong exposure of stent struts unless we open them with POT-kiss-POT or POT-side-POT technique. European Bifurcation club consensus document recommends this technique in provisional stenting of bifurcation lesion with good size SB.
Very nice Cases Sir. In the reverse Crush Technique, did you jail the SB Wire after the SB Stent crush? Is there a Risk of pinching the SB Wire between two Stents (MB an crushed SB Stent).
i have one comment sir ...... why didnot you use the iFR at 1st for assesment of the bifurcation lesion ? .......2nd if you used the ivus already for the primary assesment , why didnt you use it again for the assesment of the side branch lesion severity post POT , or you just prefferred to use the iFR to leave the lesion ??
Thank you professor for the next informative case. In your examples, I often see hemodynamic support, like an impella. This implies a patient with low ejection fractions. Does revascularization in patients with low fractions help to raise the ejection fraction? According to my observations, the ejection fraction remains unchanged even after revascularization. I meen EF low than 25%.
16.2 Provisional bifurcation stenting - Manual of PCI
Manos Brilakis
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Step-by-step description of the provisional bifurcation stenting technique and troubleshooting.