Potential risk of deflecting stent struts after side branch dilation with inappropriate guidewire recrossing in a coronary bifurcation lesion

Yoshinobu Murasato, Nicolas Foin
AsiaIntervention 2017;3:158-159, DOI: 10.4244/AIJ-D-16-00020

A 64-year-old male underwent percutaneous coronary intervention (PCI) for a 1,1,1 lesion in the left anterior descending artery (LAD)-diagonal (Dx) bifurcation (Panel Aa). A biolimus-eluting 3.5/24 mm stent (Nobori®; Terumo Corp., Tokyo, Japan) was implanted in the middle LAD (Panel Ab) followed by respective sequential dilations of Dx and LAD with 2.0 mm (Panel Ac) and 3.5 mm balloons (Maverick²™; Boston Scientific Corp., Marlborough, MA, USA, and Raiden 3; Kaneka Medix, Osaka, Japan, respectively) (Panel Ad) after guidewire (GW) recrossing (Panel Ae).

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