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March 1, 1996Catheterization and Cardiovascular DiagnosisOpen Access

“T”-shaped stent placement: A technique for the treatment of dissected bifurcation lesions

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Authors

DCDidier CarriéInterventional CardiologyEKE KarounyHôpital PurpanSCSalah ChouairiUniversité de Bordeaux

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Implication

Case report reveals T-shaped stenting restores blood flow in an occlusive bifurcation dissection, obviating emergency surgery.

Key Points

  • To describe an emergency interventional technique using a T-shaped stent configuration to treat an occlusive bifurcation dissection following angioplasty.
  • Treated a single patient presenting with acute vessel closure caused by coronary dissection following percutaneous transluminal coronary angioplasty.
  • Addressed the lesion located at the bifurcation of the left anterior descending artery and its diagonal branch by implanting Wiktor stents in a T-shaped configuration.
  • The T-shaped stent deployment immediately re-established complete, unobstructed coronary blood flow across both vessel branches.
  • The catheter-based intervention successfully stabilized the vessel and averted the requirement for emergent coronary artery bypass surgery.

Cite This Study

Carrié et al. (1996) studied this question.

synapsesocial.com/papers/6a83d34e5dc7077fe9c586fehttps://doi.org/10.1002/(sici)1097-0304(199603)37:3<311::aid-ccd21>3.0.co;2-j
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Percutaneous transluminal coronary angioplasty: report of complications from the National Heart, Lung, and Blood Institute PTCA Registry.1983 · 588 citations
  2. 2Angioplasty at coronary bifurcations: Single‐guide, two‐wire technique1986 · 64 citations
  3. 3Experience with a technique for coronary angioplasty of bifurcational lesions1984 · 67 citations
  4. 4“Kissing” stents for bifurcational coronary lesion1993 · 113 citations
  5. 5Fate of lesion-related side branches after coronary artery stenting1993 · 161 citations