Xience SBA bifurcation stent for treating distal left main disease in NSTEMI patient.

A 74-year-old female diagnosed with a non-ST elevation myocardial infarction was referred to our coronary care unit for urgent coronary angiography. Angiography revealed severe distal left main stenosis and a chronic total occlusion of the left circumflex coronary artery in its distal portion. Percutaneous coronary intervention was performed via the right femoral artery approach with a 7 Fr arterial sheath and EBU 3.0 guiding catheter (Medtronic). The Xience SBA stent was used. This device provides a good alternative to avoid multistent techniques while preserving integrity of the side branch, which results in procedural success. This dedicated bifurcation device may also be associated with shorter-duration procedures, lower contrast usage, and a reduction in total fluoroscopy time. To our knowledge, this is the first publication of this side-branch access device for the treatment of left main coronary artery disease.