Šarić Sandra, Vučković Marin
Department of Cardiology, Osijek University Hospital Centre, Osijek, Croatia.
Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Acta Clin Croat. 2024 Mar;63(Suppl1):37-42. doi: 10.20471/acc.2024.63.s1.7.
Planning and guiding PCI in a complex intervention is very important and one of the most important decisions is the one on whether to use one or two stent bifurcation techniques. Unfortunately, this can easily turn into complication and the need to alter the procedural strategy. The main points to be considered when deciding on the PCI strategy are related to both procedural safety and long-term outcomes. Provisional stenting has been recommended as the default technique for most coronary bifurcation lesions. In this paper, we describe the case of a patient scheduled for elective procedure of bifurcation lesion of LAD/D1. Our planned strategy was provisional stenting of LAD, using one stent for LAD, DCB for D1. Due to the complication that occurred, i.e., dissection of LAD after LAD stenting, we changed the strategy to two-stents technique strategy, using Culotte technique.
在复杂介入治疗中规划和指导经皮冠状动脉介入治疗（PCI）非常重要，其中最重要的决策之一是决定使用单支架还是双支架分叉技术。不幸的是，这很容易引发并发症，进而需要改变手术策略。决定PCI策略时需要考虑的要点与手术安全性和长期预后都有关。对于大多数冠状动脉分叉病变，临时支架置入术已被推荐为默认技术。在本文中，我们描述了一例计划进行左前降支（LAD）/第一对角支（D1）分叉病变择期手术的患者。我们计划的策略是对LAD进行临时支架置入，LAD使用一个支架，D1使用药物涂层球囊（DCB）。由于出现了并发症，即LAD支架置入后LAD夹层，我们将策略改为双支架技术策略，采用裤裙式技术。
