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Evaluation and Management of Nonculprit Lesions in STEMI Association of Acute Procedural Results with Long-term Outcomes After CTO-PCI Management of Myocardial Revascularization Failure: An Expert Consensus Document of the EAPCI Effect of a Restrictive vs Liberal Blood Transfusion Strategy on Major Cardiovascular Events Among Patients With Acute Myocardial Infarction and Anemia: The REALITY Randomized Clinical Trial Coronary CT Angiography in Patients With Non-ST-Segment Elevation Acute Coronary Syndrome European Bifurcation Club White Paper on Stenting Techniques for Patients With Bifurcated Coronary Artery Lesions Clinical Characteristics and Outcomes of STEMI Patients With Cardiogenic Shock and Cardiac Arrest Optimal Timing of Intervention in NSTE-ACS Without Pre-Treatment The EARLY Randomized Trial From Early Pharmacology to Recent Pharmacology Interventions in Acute Coronary Syndromes Vascular response and healing profile of everolimus-eluting bioresorbable vascular scaffolds for percutaneous treatment of chronic total coronary occlusions: A one-year optical coherence tomography analysis from the GHOST-CTO registry
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Expert Opinion2015;11 Suppl V:V102-5.

JOURNAL：EuroIntervention. Article Link

Classic crush and DK crush stenting techniques

Zhang JJ, Chen SL. Keywords: classic crush; complex bifurcation lesion; double kissing crush

ABSTRACT

Clinical data have supported the advantages of the double kissing (DK) crush technique, which consists of stenting the side branch (SB), balloon crush, first kissing, stenting the main vessel (MV) and final kissing balloon inflation, for complex coronary bifurcation lesions compared to other stenting techniques. Careful rewiring from the proximal cell of the MV stent to make sure the wire is in the true lumen of the SB stent is key to acquiring optimal angiographic results. Balloon anchoring from the MV, alternative inflation and each kissing inflation using large enough non-compliant balloons at high pressure, and the proximal optimisation technique are mandatory to improve both angiographic and clinical outcomes. Stratification of a given bifurcation lesion is recommended before decision making.


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