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Fig. 2 | BMC Cardiovascular Disorders

Fig. 2

From: Double kissing inflation outside the stent secures the patency of small side branch without rewiring

Fig. 2

Step-by-step procedures of double kissing inflation outside the stent technique in one representative patient. a Bifurcation lesion of left anterior descending artery (LAD) and first diagonal branch (D1). b Wiring both branches and management of LAD with a semicompliant balloon; c A 3.5 * 38 mm stent was used to cover the LAD lesion, and a 2.0 * 20 mm balloon was delivered into the D1 covering its ostium; d First kissing inflation of the stent balloon (12 atm) and balloon (6 atm); e Second kissing inflation of D1 balloon (6 atm) and a noncompliant 3.5 * 15 mm balloon at the bifurcation core (20 atm); f TIMI 3 flow in D1 and LAD; g Proximal optimization technique was performed with a noncompliant 4.0 * 10 mm balloon; h Final results

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