Fig. 2From: Double kissing inflation outside the stent secures the patency of small side branch without rewiringStep-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 3.5Â *Â 38Â mm stent was used to cover the LAD lesion, and a 2.0Â *Â 20Â mm balloon was delivered into the D1 covering its ostium; d First kissing inflation of the stent balloon (12Â atm) and balloon (6Â atm); e Second kissing inflation of D1 balloon (6Â atm) and a noncompliant 3.5Â *Â 15Â mm balloon at the bifurcation core (20Â atm); f TIMI 3 flow in D1 and LAD; g Proximal optimization technique was performed with a noncompliant 4.0Â *Â 10Â mm balloon; h Final resultsBack to article page