Key result
The reversed guidewire technique successfully treated a case of 99% stenosis with a severe delay of the ostial LAD steeply bifurcating from the LMT.
Case Report (n=1)
The reversed guidewire technique may be a useful and effective method for treating extremely angled bifurcation lesions during percutaneous coronary intervention.
May facilitate PCI for steeply angled ostial LAD bifurcations; hypothesis-generating and requires prospective validation.
We experienced a successfully treated case who had 99% stenosis with a severe delay of the ostial LAD which bifurcated steeply from the LMT. On treating this extreme situation, we used the newly developed "reversed guidewire" technique, and two Cypher stents were deployed as a cullotte-stent for the LMT bifurcation successfully. The "reversed guidewire" technique is considered to be a useful method for treating of extremely angled bifurcation.
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Kawasaki et al. (2007) conducted a case report in 99% stenosis of the ostial LAD steeply bifurcating from the LMT (n=1). Reversed guidewire technique was evaluated on Successful treatment of extremely angled bifurcation. The reversed guidewire technique successfully treated a case of 99% stenosis with a severe delay of the ostial LAD steeply bifurcating from the LMT.
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