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Influence of the Sequence of Proximal Optimization Technique and Side Branch Dilation for the Opening of Jailed Struts after Coronary Bifurcation Stenting

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1. Kyushu Medical Center, Department of Cardiology, Fukuoka, Fukuoka, JAPAN; 2. Department of Cardiology, Cardiovascular Center, Kyushu Medical Center; 3. Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine; 4. Department of Cardiology, Osaka Saiseikai Nakatsu Hospital

For the optimal treatment of the side branch (SB) after main vessel (MV) stenting in coronary bifurcation lesions, confirming the guide wire recrossing (GWR) point in the SB ostium is crucial.1 3-Dimensional imaging with optical coherence tomography (OCT) can visualize the GWR point clearly. We encountered unusual deflection of the protruded struts treated with proximal optimization technique (POT) and SB dilation, when the GWR into proximal cells of the struts overhung in the SB ostium. Deflection to the SB. A 67-year-old man with a 1-1-0 lesion…

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