A high risk unstable case of left main bifurcation lesion treated with simultaneous kissing stents as salvage procedure

Authors

  • Brajesh Kumar Kunwar Department of Cardiology, Fortis Hospital, Navi Mumbai, Maharashtra, India
  • Vikrant Pawar Department of Intensive Care, Fortis Hospital, Navi Mumbai, Maharashtra, India
  • Ravneet Singh Villkhoo Department of Intensive Care, Fortis Hospital, Navi Mumbai, Maharashtra, India
  • Shivram Mishra Department of Cardiology, Fortis Hospital, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20200271

Keywords:

Bifurcation, Left main, Simultaneous kissing stents

Abstract

Bifurcation treatment with percutaneous coronary intervention is still one challenging task especially the left main bifurcation. And it becomes still more challenging when it is done in emergency situation in a very unstable patients. There are many one-stent and two-stent approaches available to treat the bifurcation lesions but no approach has proven superior to other. Here, we present a case of a 78-year-old male diagnosed with distal left main bifurcation lesion treated with simultaneous kissing stents technique presented with acute coronary syndrome, non-ST elevation myocardial infarction with pulmonary oedema in cardiogenic shock.

References

Siotia A, Morton AC, Malkin CJ, Raina T, Gunn J. Simultaneous kissing drug-eluting stents to treat unprotected left main stem bifurcation disease: medium term outcome in 150 consecutive patients. EuroInterven. 2012 Oct 1;8(6):691-700.

Yamada T, Takahashi A. Membranous diaphragm formation after simultaneous kissing stenting with sirolimus‐eluting stents for the left main bifurcation: Insight from optical coherence tomography findings. Catheteriza Cardiovas Interven. 2013;82(3):E221-E4.

Morris PD, Iqbal J, Chiastra C, Wu W, Migliavacca F, Gunn JP. Simultaneous kissing stents to treat unprotected left main stem coronary artery bifurcation disease; stent expansion, vessel injury, hemodynamics, tissue healing, restenosis, and repeat revascularization. Catheteriza Cardiovas Interven. 2018 Nov 15;92(6):E381-92.

Ahn JM, Lee PH, Park SJ. Practical based approach to left main bifurcation stenting. BMC Cardiovas Disorders. 2016;16(1):49.

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Published

2020-01-27

How to Cite

Kunwar, B. K., Pawar, V., Villkhoo, R. S., & Mishra, S. (2020). A high risk unstable case of left main bifurcation lesion treated with simultaneous kissing stents as salvage procedure. International Journal of Research in Medical Sciences, 8(2), 764–766. https://doi.org/10.18203/2320-6012.ijrms20200271

Issue

Section

Case Reports