Bifurcation coronary stenting

Описание: According to the results of coronarography: Left main artery not changed, Left artery descending - bifurcation subtotal stenosis mid, (Medina 1-1-1) stenosis of the ostium dioganal branch 95-98%, diameter diogsnal branch - 2.8-3.1 mm Circumflex artery of heart - without features, Right coronary artery - uneven contours of the proximal-mid (distal blood flow according to Left artery descending - TIMI –III). Percutaneous coronary intervention on left artery descending. Guidewire (D - 0.014 inch, L - 180 cm) is inserted into the distal left artery descending section. The 2nd guidewire (D - 0.014 inch, L - 180 cm) is brought into the distal section of the dioganal branch. A balloon of 2.75x20 mm was introduced into the stenosis zone of the Left artery descending, pre-dilatation was performed twice by inflating the balloon (Pressure - 10-12 atm., Time 10-12 '). A balloon of 2.75x20 mm was inserted into the stenosis zone of the dioganal branch ostium. Dilatation was performed twice by inflating the balloon (Pressure - 10-12 atm., Time 10-12 '). When controlling the mouth of the dioganal branch, the width was completely restored, angiographic signs of intimal dissection are absent, and in the Left artery descending, stenosis is 70-80%. An Xience Xpedition stent (Diameter-3.5 mm, Length-23 mm) was implanted into the stenosis zone of Left artery descending twice by inflating the balloon (Pressure - 10-12 atm., Time 10-12 '). Guidewires recrossing. Kissing-dilation of the zone bifurcations with balloon 3.5x23 mm and 2.75x20 mm twice by inflating the balloon (Pressure - 10-12 atm., Time 10-12 '). Good final result.