Rus Marius, Nichita-Brendea Mihnea-Traian, Popescu Mircea-Ioachim, Pașca Georgeta, Staniș Claudia Elena, Crișan Simina
Department of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania.
Cardiology Department, Bihor Clinical Emergency Hospital, 410169 Oradea, Romania.
J Clin Med. 2025 Jan 8;14(2):328. doi: 10.3390/jcm14020328.
True trifurcation disease of the left main coronary artery is a rare situation encountered in clinical practice. To date, there is no evidence for a standardized strategy of percutaneous coronary intervention in this type of lesion. This article describes a novel three-stent strategy using a combination of Triple-Kissing Balloon Crush in both of the side branches. This technique is based on a well-established bifurcation stenting technique, namely, the Double-Kissing Crush technique. This strategy was implemented successfully, demonstrating technical feasibility and optimal stent apposition in the trifurcation lesion, ensuring the preservation of all three branches. Although more data and clinical trials are needed to develop proper evidence-based guidelines, three-stent implantation with Double-Trissing Crush should be taken into consideration as a viable strategy for LM trifurcation lesions in the proper set of patients.
左主干冠状动脉真性三分支病变是临床实践中罕见的情况。迄今为止，尚无证据表明针对此类病变有标准化的经皮冠状动脉介入治疗策略。本文描述了一种新型的三支架策略，该策略在两个侧支均采用三吻球囊挤压技术。此技术基于一种成熟的分叉支架置入技术，即双吻挤压技术。该策略成功实施，证明了在三分支病变中技术上的可行性以及支架的最佳贴壁效果，确保了所有三个分支均得以保留。尽管需要更多数据和临床试验来制定恰当的循证指南，但对于合适的患者群体，双吻挤压三支架置入术应被视为左主干三分支病变的一种可行策略。
