Consequences of the Impossibility to Provide a Final Kissing Balloon in Dual Stent Bifurcation Technique

Abstract

Final kissing balloon is the cornerstone of double stent techniques for bifurcation lesions. It provides restoring of the optimal anatomic and physiological features of coronary artery bifurcations. Skipping this step can lead to catastrophic consequences, and resolving complication can be very challenging despite all available tools and tricks. Some interventional tools can be helpful but can also result in new complications. This is a case report on an unsuccessfull attempt of resolving an acute complication after coronary artery bifurcation stenting with two-stent technique, despite all tricks we had in our pocket at that time. In this report, we will also show problems that can occure when trying to cross stent strat with microcatheter, and use of intracoronary imaging in resolving foreign body location.

Keywords

• Bifurcation stenting
• Final kissing balloon
• Two-stent technique
• Foreign body
• Intravascular ultrasound