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T-stenting and small protrusion (TAP) technique for restenotic lesion after single stenting in the left main coronary bifurcation

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T-stenting and small protrusion (TAP) technique for restenotic lesion after single stenting in the left main coronary bifurcation

European Bifurcation Club 2008 – EBC 2008 – Prague, Czech Republic

D family techniques

T-stenting and small protrusion (TAP) technique for restenotic lesion after single stenting in the left main coronary bifurcation

Author: Yoshinobu Murasato MD, PhD, Dept. of Cardiovascular Medicine, New Yukuhashi Hospital, Japan

 

CONCLUSION

  • TAP technique is a non-complex and acceptable treatment for the recurrent and severe restenotic lesion in the LCX after crossover stenting in the LMCA.
  • Even after high pressure ballooning at the LCX ostium, the stent expansion was restricted when Taxus stent was used for the MV.
  • This tendency was more prominent in Cypher stent (closed-cell type) compared to Driver stent (modular type).
  • Kissing balloon inflation was mandatory for correcting the deviation of metallic carina.

 

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