Case 68 - PCI Manual - Branch ostial lesion

[@odraccir80]

Thanks for sharing this case. What about the use of drug coated balloon as first choice in true Medina 0-0-1?

[@drsherb1552]

Thank you very much. so if the diseased vessel is the more important vessel one do provisional stenting for extra protection of the important vessel. but if the diseased vessel is the less important vessel go for T-stenting or mini crush. Thank you very very much.

[@drmahbuborrahman1061]

Nice demonstration

[@АртемГаврилко-к3ч]

Thank you! In which cases do you perform KBI before POT, if initially provisional strategy was selected?

[@shangz0216]

Thanks for your sharing.

[@tom11298]

Great and very educational. I had the same case lately, done same approach The GW being jailed, was stuck, could not be removed, only advancing a 1.5 ballon over the jailed wire could help and free that wire. I think the longer the stent and the longer the portion of the jailed wire behind the stent, the more the risk of entrapment. would you consider doing provisional hier (0-1-0), with only one wire in the main vessel (as the the ostium of the SB (the RCX/OM3) is free of disease and 70-90 degree to the MV)?

[@manosbrilakis]

I would still jail a wire in the SB, even if the likelihood of occlusion is low, because our ability to predict SB compromise is limited. To minimize the risk of entrapment, a microcatheter or balloon can be advanced over the jailed guidewire if there is any resistance during attempts to withdraw it.

[@drmahbuborrahman1061]

Wonderful teaching

[@schiefix]

Virtually nobody uses Minicrush in the UK. TAP would be the way to go in

[@drgskgraju4563]

DEB would be my first choice