Document Detail


Treatment of a double-bifurcation lesion with sirolimus-eluting stents using the "sleeve technique".
MedLine Citation:
PMID:  17297189     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a diabetic patient with a very long lesion in a small and diffusely diseased left anterior descending artery that had 2 sizable and diseased diagonal branches (double-bifurcation lesion). The authors successfully used sirolimus-eluting stents and the sleeve technique to reconstruct the vessel and its 2 bifurcations. The sleeve technique is a modified version of the crush technique. It involves stent placement in the side branch ostium, balloon-crush of the proximal protruding stent segment against the main vessel wall, and reconstruction of the side branch ostium by kissing balloon inflation, followed by stenting of the main vessel and reconstruction of the bifurcation again by a second kissing balloon inflation.
Authors:
Man-Hong Jim; Hee-Hwa Ho; Wing-Hing Chow
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  19     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-02-13     Completed Date:  2007-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E10-4     Citation Subset:  IM    
Affiliation:
Queen Mary Hospital, Department of Medicine, Pokfulam Road, Hong Kong. jimmanh2002@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Transluminal, Percutaneous Coronary / methods*
Coronary Angiography
Coronary Circulation
Coronary Stenosis / radiography*,  therapy*
Female
Follow-Up Studies
Humans
Risk Assessment
Severity of Illness Index
Sirolimus / therapeutic use
Stents*
Treatment Outcome
Vascular Patency
Chemical
Reg. No./Substance:
53123-88-9/Sirolimus

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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