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Case Reports
Published online: 2019-07-02
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Trifurcation Stenting of left anterior descending artery by “Kurdistan” Technique using Two Guide Catheters

Santosh Kumar Sinha, Vinay Krishna, Umeshwar Pandey, Mahmadula Razi, Awdesh Kumar Sharma, Ramesh Thakur
DOI: 10.5603/FC.a2019.0087

open access

Ahead of print
Case Reports
Published online: 2019-07-02

Abstract

Percutaneous coronary intervention of trifurcating lesion is a challenging and complex procedure. This has been reported for left main trifurcation disease but little is known about such substrate in left anterior descending artery. We herein report a case of 68-year-old male with chronic stable angina who was successfully treated with percutaneous coronary stent implantation for trifurcation lesion of left anterior descending artery. Bifurcation lesion was treated using culottes’ technique with 6F guide catheter. Balloon angioplasty of third side branch of the trifurcation lesion was performed with another 6F guide catheter. Here, first 6F catheter was pulled to dehook the left main when left main was being hooked with second 6F catheter. Fine tuning of both guide catheters needs to be exercised to make them stable, and to avoid injury of left main artery. This is the first case report to highlight the feasibility and efficacy of dual guiding catheter to treat a trifurcation lesion of left anterior descending artery by "Kurdistan” Technique.

Abstract

Percutaneous coronary intervention of trifurcating lesion is a challenging and complex procedure. This has been reported for left main trifurcation disease but little is known about such substrate in left anterior descending artery. We herein report a case of 68-year-old male with chronic stable angina who was successfully treated with percutaneous coronary stent implantation for trifurcation lesion of left anterior descending artery. Bifurcation lesion was treated using culottes’ technique with 6F guide catheter. Balloon angioplasty of third side branch of the trifurcation lesion was performed with another 6F guide catheter. Here, first 6F catheter was pulled to dehook the left main when left main was being hooked with second 6F catheter. Fine tuning of both guide catheters needs to be exercised to make them stable, and to avoid injury of left main artery. This is the first case report to highlight the feasibility and efficacy of dual guiding catheter to treat a trifurcation lesion of left anterior descending artery by "Kurdistan” Technique.

Get Citation

Keywords

Trifurcation lesion; Left anterior descending artery; Kurdistan” Technique

About this article
Title

Trifurcation Stenting of left anterior descending artery by “Kurdistan” Technique using Two Guide Catheters

Journal

Folia Cardiologica

Issue

Ahead of print

Published online

2019-07-02

DOI

10.5603/FC.a2019.0087

Keywords

Trifurcation lesion
Left anterior descending artery
Kurdistan” Technique

Authors

Santosh Kumar Sinha
Vinay Krishna
Umeshwar Pandey
Mahmadula Razi
Awdesh Kumar Sharma
Ramesh Thakur

References (8)
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