15.2 Branch ostial lesions - Manual of PCI

Step-by-step description of how to perform percutaneous coronary intervention in branch-ostial coronary lesions.

[@momentinen]

Thank You , ist very helpfull!

[@shangz0216]

Thanks for sharing

[@drsandeepu]

can we do a deb to the branch ostial lesion..

[@andiyassiin2308]

Very excellent presentation, may I know which chapter explains about "non aorto-ostial lesion" like ostial LAD or ostial LCx? Thank you very much.

[@arminmarashizadeh5540]

Thanks Manos, I have learned a lot from your channel, I have 2 questions about mini crush in this setting, 1. Do you suggest to down size the main balloon a little, comparing to standard mini crush, to avoid main vessel dissection? 2. in your experience is this approach applicable to LCX ostial lesion? because we have a crushed stent in LM that is not covered with another stent and hypothetically may cause thrombus formation.

[@arminmarashizadeh5540]

Dear professor, thanks for your precious time, as I have asked you before, I have got patient with LCX ostial lesion 0-0-1 and reftractory angina despite OMT do u recommend this approach?

[@ahmedzahran7016]

Thank you, at minute 7:00 you describe a minicrush technique inflating a balloon in the Main Vessel in the kissing technique without covering the inflated MV portion by a stent, is there a possibility for that to cause recoil or restenosis in MV?

[@farukakturk5388]

Mini crush for side branch means ballooning main vessel without a lesion? Could drug eluting balloons be helpfull in these kind of cases??

[@manosbrilakis]

Agree that ballooning a main vessel without a lesions is not optimal - DCBs may be better than standard balloons in this setting but I am not aware of any data.

[@77bansal]

it may be a good option and it may be a point of future work