Mini-Crush Technique in Left Main Coronary Bifurcation: A Case Report

Abstract

Percutaneous coronary intervention of Left Main (LM) coronary artery bifurcation disease remains technically challenging. Despite the plethora of techniques in current practice and guidelines advocating provisional strategy (one-stent or main branch-stent only), controversy still persists regarding the two-stent techniques.Moreover, there is improved mindfulness towards various factors affecting LM treatment such as patient selection, stent characteristics, risk stratification, optimum imaging, as well as vessel preparation. The latest generation stent with ultra-thin struts have been safe and efficient in the treatment of LM bifurcation lesions, as they have upgraded designs that aid in the expansion of their diameters to larger extent. Additionally, being ultra-thin leads to lower metal load at the carina, thus improving the long-term outcomes. The authors here present with the case of a 42-year-old patient with LM bifurcation disease who was successfully managed with mini-crush technique using ultra-thin Tetriflex Sirolimus-Eluting Stents (SES). The case depicts that optimum amalgamation of ultrathin strut stents implantation and mini-crush technique would provide very favourable results.

Keywords

• coronary angiography
• percutaneous coronary intervention
• sirolimus-eluting stents