Final kissing balloon inflation: the whole story

  • Murasato, Y.
  • Finet, Gerard
  • Foin, N.
Publication date
May 2015
Publisher
Europa Digital & Publishing
ISSN
1774-024X
Citation count (estimate)
13

Abstract

International audienceFinal kissing balloon inflation (KBI) after provisional bifurcation stenting has failed to provide clear clinical benefit except for a decrease in side branch stenosis, while a significant reduction of major adverse cardiac events has been documented in two-stent deployment. The optimisation of KBI in terms of proximal optimisation technique, appropriate guidewire re-crossing, minimal balloon overlapping, and balloon size selection may overcome the drawbacks of conventional KBI by: 1) correcting the proximal malapposition expected from fractal geometry; 2) optimising side branch ostium strut opening while conserving a bifurcation area free of malapposition at both the carina and the side branch ostium; and 3) optimisin...

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