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Culotte Technique in Left Main Disease

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European Bifurcation Club 2007, EBC 2007 – Valencia, Spain

Culotte Technique in Left Main Disease

Author: Peter Barlis, MD, Royal Brompton Hospital, London, UK

SUMMARY

  • The culotte technique is more technically demanding compared to other bifurcation strategies
  • It is not routinely applied in LM given the relative large size of the LM compared to the available DES diameters
  • It is adaptable as a truly provisional strategy, with the second stent being implanted only if required
  • It can be applied to varying angles, particularly retrovert origin

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