Bifurcation Disease: The Role of Proximal Optimisation Technique

Abstract

Bifurcation lesions are both complex and challenging coronary lesion subsets in terms of lower procedural success and increased rates of long-term adverse cardiac events. Here described is a challenging case of a bifurcation lesion in a 60-year-old diabetic female with multi-vessel coronary artery disease. She presented with chest pain associated with perspiration, chest discomfort and mild breathlessness. In view of the diagnosis of acute coronary syndrome, all diseased vessels were stented and kissing balloon and Proximal Optimisation Techniques (POT) were performed yielding excellent results. This case emphasises the importance of POT, kissing balloon, and re-POT techniques in bifurcation intervention procedures that have been proven to facilitate success in such procedures. Moreover, interventional cardiologists should be familiar with all bifurcation techniques.

Keywords

• diabetes mellitus
• kissing balloon technique
• left main coronary artery disease
• multi-vessel coronary artery disease
• percutaneous coronary intervention