Fadi J. Sawaya et al. JCIN 2016;9:

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Presentation transcript:

Fadi J. Sawaya et al. JCIN 2016;9:1861-1878 Culotte Technique Step by Step (1) Insertion of a wire into each distal branch. (2) First stent deployed in the main branch using a stent diameter according to the distal main reference. (3) First proximal optimization technique performed. (4,5) Wire exchange performed. (6) Dilate stent struts into side branch (SB). (7) Second stent deployed from the SB into the main branch using a stent diameter according to the distal SB reference. (8) Second proximal optimization technique. (9,10) Second wire exchange. (11) Kissing balloon inflation. (12) Final result. Fadi J. Sawaya et al. JCIN 2016;9:1861-1878 American College of Cardiology Foundation