Bifurcation Disease: The Role of Proximal Optimisation Technique

Bifurcation lesions are both complex and challenging coronary lesion subsets in terms of lower procedural success and increased rates of long-term adverse cardiac events. Here described is a challenging case of a bifurcation lesion in a 60-year-old diabetic female with multi-vessel coronary artery...

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Bibliographic Details
Main Authors: Bhupesh Shah, Nishit Sardava, Nikita Chaturvedi
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2020-09-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/13985/45290_CE[Ra1]_F(SL)_PF1(AG_KM)_PN(SL).pdf
Description
Summary:Bifurcation lesions are both complex and challenging coronary lesion subsets in terms of lower procedural success and increased rates of long-term adverse cardiac events. Here described is a challenging case of a bifurcation lesion in a 60-year-old diabetic female with multi-vessel coronary artery disease. She presented with chest pain associated with perspiration, chest discomfort and mild breathlessness. In view of the diagnosis of acute coronary syndrome, all diseased vessels were stented and kissing balloon and Proximal Optimisation Techniques (POT) were performed yielding excellent results. This case emphasises the importance of POT, kissing balloon, and re-POT techniques in bifurcation intervention procedures that have been proven to facilitate success in such procedures. Moreover, interventional cardiologists should be familiar with all bifurcation techniques.
ISSN:2249-782X
0973-709X