Proximal optimization technique, proximal rewiring, side-branch dilation and paired balloon inflation to minimize metal carina in inadequate jailing

摘要

If distal rewiring is selected for inadequate jailing (distal cell on a side-branch ostium divided by a stent-link) during single two-link stent deploy-ment at the coronary bifurcation with side-branch dilation, kissing balloon inflation (KBI) might result in residual deformed struts in the side-branch ostium, and a sparse strut-covered distal main vessel. Although adequate rewiring during inad-equate jailing might be proximal rewiring [Nakao F. The impact of proximal cell rewiring compared with distal cell rewiring with single-stent deployment and subsequent kissing balloon inflation in the inadequate jailing of a Kanam stent on the side branch ostium. Cardiol J. 2017 Jun 27; ahead of print], simple KBI might result in residual metal carina. The sequence of procedures should also be considered.