Culotte Technique with Endoscopic Visible Heart Imaging and OCT

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain MEDTRONIC SYMPOSIUM  - One stent bifurcation techniques and possible bail out solutions using multimodality imaging. Culotte Technique with Endoscopic Visible Heart Imaging and OCT Author: Jens Flensted Lassen, MD, PhD, Odense University Hospital, Denmark SUMMARY OF THE PROCEDURE 1. Implant the first stent. Provisional stenting is a philosophy starting with one stent The procedure develops stepwise. You can stop at any step keeping the procedure as simple as possible (But not too simple) Kiss is for positioning of the carina Pot is for correcting the proximal Part of the stent To ”deep” POT may crush the carina area, but is needed to correct the stent distortion KISS with short balloons makes room for a more proximal POT-Balloon placement. 2. Consider the need for a second stent T, TAP, and Culotte are all just techniques with a second stent and defined only by how deep the stent is placed, according to the side branch ostium. CONCLUSION The stepwise progression of the the provisional strategy makes it possible to stop at any stage when the result is satisfying.

A patient with distal LM disease and large diameter discrepancy between LAD and LM

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain BOSTON SYMPOSIUM A patient with distal LM disease and large diameter discrepancy between LAD and LM Author: Jens Flensted Lassen, MD, PhD, Odense University Hospital, Denmark PATIENT HISTORY Male, 60 years, Severe COL, Reduced FEV 1, EF 35 %, Diabetes, Hypertension. Family history of ischemic heart disease. Mid LAD stenosis Ostial LAD stenosis, With plaque in LM FFR: 0.67 (distally LAD) and 0.79 (between LM and proximal LAD.) Heart team decision: PCI

V-stenting

European Bifurcation Club 2008 - EBC 2008 - Prague, Czech Republic S family techniques V-stenting Author: Jens Flensted Lassen MD, PhD, Aarhus University Hospital, Skejby, Denmark

Insight from Nordic III

European Bifurcation Club 2009 - EBC 2009 - Berlin, Germany Simple or very simple technique for most bifurcation lesion? Insight from Nordic III Author: Jens Flensted Lassen, MD, PhD, Department of Cardiology, Skejby Hospital, University of Aarhus, Denmark

Consensus so far and what we will be focusing on this time

European Bifurcation Club 2010 - EBC 2010 - Budapest, Hungary What’s new since last year? Consensus so far and what we will be focusing on this time Author: Jens Flensted Lassen, MD, PH.D., FESC, Department of Cardiology B, Skejby Hospital, University of Aarhus, Denmark

Bifurcations: Clinical aspects

European Bifurcation Club 2011 - EBC 2011 - Lisbon, Portugal Cordis sponsored symposium Bifurcations: Clinical aspects Author: Jens Flensted Lassen, MD, PH.D., Skejby Hospital, University of Aarhus, Denmark

What is difference in the left main Bifurcation?

European Bifurcation Club 2014 - EBC 2014 - Bordeaux, France We can stent the Left Main trunk, but what is the best technique? What is difference in the left main Bifurcation? Author: Jens Flensted Lassen, MD, PH.D., Aarhus University Hospital, Skejby, Aarhus, Denmark