Key result
The REVERSE modified flower petal stenting technique was successfully performed in a patient with acute myocardial infarction and bifurcation lesions, showing no evidence of restenosis at 24 months.
Why the study?
Clinical outcomes remain poor in acute myocardial infarction cases with bifurcation lesions undergoing primary percutaneous coronary intervention.
Case Report (n=1)
No
The REVERSE modified flower petal stenting technique was successfully applied in a patient with acute myocardial infarction and bifurcation lesions, demonstrating no restenosis at 24 months.
Should not change bifurcation stenting practice; hypothesis-generating for the REVERSE technique in AMI pending larger studies.
Introduction: Concerning the poor clinical outcomes in cases of acute myocardial infarction (AMI) with bifurcation lesions undergoing primary percutaneous coronary intervention (PCI), we described a successful application of modified flower petal technique and called it the REVERSE modified flower petal technique in a patient with AMI. Case Presentation: A 56-years-old man who suffered from chest pain was admitted to the emergency ward. After clinical examination, the primary diagnosis was acute anterolateral MI. Therefore, PCI on left anterior dimension (LAD) and diagonal arteries using modified flower petal stenting was performed in the side branch, which we called it REVERSE modified flower petal. Conclusions: Modified flower petal stenting was performed by the REVERSE mechanism as described in the report of the new intervention (2.5 × 18). The follow-up after 24 months by the exercise stress test using the Bruce protocol supported the success of the intervention.
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Haybar et al. (2020) conducted a case report in Acute Myocardial Infarction with bifurcation lesions (n=1). REVERSE modified flower petal stenting was evaluated on Procedural success and absence of restenosis. The REVERSE modified flower petal stenting technique was successfully performed in a patient with acute myocardial infarction and bifurcation lesions, showing no evidence of restenosis at 24 months.
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