Should we kiss?

    Authors

    Keywords

    coronary artery bifurcation, provisional stenting, kissing balloons

    DOI

    https://doi.org/10.15836/ccar2020.47

    Full Text

    Atherosclerotic disease predominantly occurs in the position of the biggest blood turbulations. Pathophysiologicaly this position is prone to shear stress. In interventional cardiology this position is called coronary bifurcation. Bifurcation stenting depends on distribution of atherosclerotic burden and anatomical structure of main and side branches. The problem lies in wright conformation of delivered stents and wright anatomical structure that should mimic natural blood flow. Because of this physical law debate is on how to adequately form positioned stents through postdilatation. One common way is doing kissing balloons. We will show the importance of these techniques through medical literature data ( 1 , 2 ), that were published in last 5 years, and try to propose recommendation for kissing balloons in one stent, and two stents techniques. We will show several examples of one and two stent techniques and our solutions. In conclusion, based on literature review and our practice, we think that kissing balloon could be optional in provisional stenting, but desirable, not mandatory, in two stents techniques.

    Cardiologia Croatica
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    Should we kiss?

    Extended Abstract
    Issue3-4
    Published
    Pages47
    PDF via DOIhttps://doi.org/10.15836/ccar2020.47
    coronary artery bifurcation
    provisional stenting
    kissing balloons

    Authors

    Marin Vučković*ORCIDUniversity Hospital Centre Osijek, Osijek, Croatia
    Sandra MakarovićORCIDUniversity Hospital Centre Osijek, Osijek, Croatia
    Zorin MakarovićORCIDUniversity Hospital Centre Osijek, Osijek, Croatia
    Damir KirnerORCIDUniversity Hospital Centre Osijek, Osijek, Croatia

    Full Text

    Atherosclerotic disease predominantly occurs in the position of the biggest blood turbulations. Pathophysiologicaly this position is prone to shear stress. In interventional cardiology this position is called coronary bifurcation. Bifurcation stenting depends on distribution of atherosclerotic burden and anatomical structure of main and side branches. The problem lies in wright conformation of delivered stents and wright anatomical structure that should mimic natural blood flow. Because of this physical law debate is on how to adequately form positioned stents through postdilatation. One common way is doing kissing balloons. We will show the importance of these techniques through medical literature data ( 1 , 2 ), that were published in last 5 years, and try to propose recommendation for kissing balloons in one stent, and two stents techniques. We will show several examples of one and two stent techniques and our solutions. In conclusion, based on literature review and our practice, we think that kissing balloon could be optional in provisional stenting, but desirable, not mandatory, in two stents techniques.