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Methods: Bench and in-vivo evaluations were performed. For the bench visualization bifurcated silicone mock vessel was used. The POKI technique 4️⃣ was simulated using a 3.5 mm POT balloon. For the in-vivo evaluation patients with angiographic bifurcation lesions in a native 4️⃣ coronary artery with diameter ≥ 2.5 mm and ≤ 4.5 mm, SB diameter ≥ 2.0 mm, and percentage diameter stenosis 4️⃣ (%DS) more than 50% in the main vessel (MV) were included. Provisional stenting was the default strategy.
Background: Percutaneous coronary interventions 4️⃣ (PCI) of bifurcation lesions poses a technical challenge with a high complication rate. Kissing balloon inflation (KBI) and proximal optimization 4️⃣ technique (POT) are used to correct bifurcation carina after stenting. However, both may still lead to uncomplete strut apposition to 4️⃣ the side branch (SB) lateral wall. Proposed herein, is a new stent-optimization technique following bifurcation stenting consisting of a combination 4️⃣ of POT and KBI called proximal optimization with kissing balloon inflation (POKI).
This article is available in open access under Creative 4️⃣ Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long 4️⃣ as they credit the authors and the publisher, but without permission to change them in any way or use them 4️⃣ commercially.
The article is accompanied by the editorial on page 894
