Abstract

Some of the unresolved problems concerning percutaneous coronary intervention (PCI) are related to coronary bifurcation lesions involving the left main distal bifurcation lesion. An issue with bifurcation lesions is that the vessel diameter, bifurcation angles, and locations of stenotic lesions are varied. Single-stent implantation is better than two-stent implantation. Rewiring through the distal side of the jailed side branch (SB) ostium followed by SB dilation is better than proximal-sided rewiring, and the proximal optimizing technique (POT) and the re-POT are effective [ [1] Finet G. Dérimay F. Motreff P. Guerin P. Pilet P. Ohayon J. Darremont O. Rioufol G. Comparative analysis of sequential proximal optimizing technique versus kissing balloon inflation technique in provisional bifurcation stenting: fractal coronary bifurcation bench test. JACC Cardiovasc. Interv. 2015; 8: 1308-1317 Crossref PubMed Scopus (74) Google Scholar , [2] Dérimay F. Rioufol G. Cellier G. Souteyrand G. Finet G. Benefits of final proximal optimization technique (POT) in provisional stenting. Int. J. Cardiol. 2019; 274: 71-73 Abstract Full Text Full Text PDF Scopus (13) Google Scholar ].

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