Figure 1: A: Placement of stent and 1.5/20 mm balloon catheter in the LMCA, with the respectivedistal segment in the LAD and LCX. The proximal end of the balloon is positioned closer to the ostium of LMCA; B: Dilatation of the LCX ostium, with the balloon inflated to 14 atms; C: Dilatation of the LMCA and LAD by kissing inflation of the stent and cushion balloon; D: With the cushion balloon still inflated, the stentballoon is deflated; E: Removal of the deflated cushion balloon and stent catheters. Placement of the second guide wire in the LCX through the stent struts, with the aid of a Crusade microcatheter; F: After removing the first guide wire in the LCX, there is stent cell expansionwith the inflation of the proper size balloon catheters; G: Sidebranch stent being inflatedfully; H: Kissing-balloon inflation; I: Final result. LAD, left anterior descending artery; LCX, left circumflex artery; LMCA, left main coronary artery. Refer to the text for technical detail. |