ArticleJACC. Case reports2025
Intravascular Imaging in Bifurcation Stenting.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Reply: Revisiting the Technical Steps of the Double-Kissing Crush Technique in a Complicated Case of Left Main Bifurcation.JACC. Case reports · 2026Article
- Revisiting the Technical Steps of the Double-Kissing Crush Technique in a Complicated Case of Left Main Bifurcation.JACC. Case reports · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn 84-year-old male presented with a non-ST-segment elevation myocardial infarction. Coronary angiogram demonstrated severe left main coronary artery bifurcation stenosis. Left main coronary artery bifurcation stenting was performed using a double kiss crush technique. The patient represented 4 days later with a further non-ST-segment elevation myocardial infarction. CASE SUMMARY: Repeat angiogram demonstrated a hazy opacity at the ostium of the circumflex (Cx). Intravascular imaging demonstrated deformation of the ostial Cx stent with associated thrombus. DISCUSSION: The mechanism of deformation was abluminal wire recrossing into the Cx. Unintentional stent deformation is an underrecognized problem. This case highlights the importance of optimal wire recross when performing bifurcation stenting with the double kiss crush technique. TAKE-HOME MESSAGES: Unintentional stent deformation is an underrecognized problem. Intravascular imaging should be used in bifurcation stenting to: 1) ensure side-branch stent optimization; 2) confirm recross wire position; and 3) ensure there is no unintentional stent deformation.
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Registered trials
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