Successful Management of Left Main Bifurcation Lesion Using Culottes Technique.

Authors

  • Faisal Ahmed Liaquat National Hospital and Medical College, Karachi-Pakistan.
  • Saadia Abubakar Liaquat National Hospital and Medical College, Karachi-Pakistan.
  • Falaknaz Salari Liaquat National Hospital and Medical College, Karachi-Pakistan.

Keywords:

Unstable Angina, Culottes, Left Main, Bifurcating Lesions, Percutaneous Coronary Intervention.

Abstract

Introduction: In the realm of complex coronary bifurcating lesions, selecting an optimal treatment strategy poses challenges that demand expertise. This case study presents a middle-aged male with unstable angina, successfully undergoing percutaneous coronary intervention (PCI) using the Culottes technique.

Case Presentation: The patient, a middle-aged male, presented with unstable angina and was diagnosed with a complex coronary bifurcating lesion. The lesion's intricate nature required careful consideration of the treatment approach. Given the challenges associated with bifurcation lesions, a strategic intervention was essential to ensure the best possible outcome.

Results: The patient underwent percutaneous coronary intervention (PCI) utilizing the Culottes technique. This approach involves the use of two stents to treat both the main vessel and the side branch simultaneously. The procedure was conducted successfully, resulting in symptom relief for the patient. Subsequent to the intervention, the patient experienced a significant improvement in his condition, enabling him to resume his daily activities without discomfort.

Conclusion: This study emphasizes the intricacies of bifurcation lesion treatment and underscores Culottes as a viable approach, encouraging improved patient outcomes and quality of life.

References

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Kervinen K, Niemelä M, Romppanen H, Erglis A, Kumsars I, Maeng M, Holm NR, Lassen JF, Gunnes P, Stavnes S, Jensen JS. Clinical outcome after crush versus culotte stenting of coronary artery bifurcation lesions: the Nordic Stent Technique Study 36-month follow-up results. JACC: Cardiovasc Interv. 2013;6(11):1160-1165.

Ferenc M, Gick M, Comberg T, Rothe J, Valina C, Toma A, Löffelhardt N, Hochholzer W, Riede F, Kienzle RP, Achtari A. Culotte stenting vs. TAP stenting for treatment of de-novo coronary bifurcation lesions with the need for side-branch stenting: the Bifurcations Bad Krozingen (BBK) II angiographic trial. Eur heart J. 2016;37(45):3399-3405.

Kaplan S, Barlis P, Dimopoulos K, La Manna A, Goktekin O, Galassi A, Tanigawa J, Di Mario C. Culotte versus T-stenting in bifurcation lesions: immediate clinical and angiographic results and midterm clinical follow-up. Am heart J. 2007;154(2):336-343.

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Published

2023-09-04

How to Cite

Ahmed, F., Abubakar , S., & Salari , F. (2023). Successful Management of Left Main Bifurcation Lesion Using Culottes Technique. Cathalogue, 1(1), 33–36. Retrieved from http://pjcvi.com/index.php/Cathalogue/article/view/62

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