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A simple practical technique to protect the side branch during PCI for coronary bifurcation lesions: Side branch balloon submerged embedding technique Yi Cheng, Yang Yang, Dingguo Zhang, Zhijian Yang, Liansheng Wang International Journal of Cardiology Volume 178, Pages (January 2015) DOI: /j.ijcard Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions
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Fig. 1 A: CAG showing LAD–diagonal branch bifurcation lesion; B: A 1.5mm∗15mm INVATEC balloon was advanced into the diagonal branch beforehand and made sure that the proximal portion of the balloon protrudes into the LAD at a distance of 1–2mm. Positioning of the main branch stent with the side branch submerged embedded to protect the ostium of the side branch; C: after the main vessel stent released with minimum named pressure (10atm), the ostium of side branch is influenced after the 1.5mm∗15mm balloon was removed. D: The wire positioned in the diagonal branch reenters the diagonal branch through meshes in the stent. The 1.5mm∗15mm INVATEC balloon reenters the side branch, either. Performing PTCA of the ostium of the side branch with the balloon. E: A Sprinter 3.5mm∗9mm balloon was put into the stent and post-dilated with 15atm pressure. F: Restudy angiogram revealed no stenosis in the main branch, and reduced the diameter of the side branch ostium and TIMI 3 flow in both branches. International Journal of Cardiology , 93-95DOI: ( /j.ijcard ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions
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