Copyright
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Jun 26, 2021; 13(6): 155-162
Published online Jun 26, 2021. doi: 10.4330/wjc.v13.i6.155
Published online Jun 26, 2021. doi: 10.4330/wjc.v13.i6.155
A Novel guide extension assisted stenting technique for coronary bifurcation lesions
Shams Y-Hassan, Coronary Artery Disease Area, Heart and Vascular Theme, Karolinska Institutet and Karolinska University Hospital, Stockholm S-141 86, Sweden
Rodney de Palma, Buckinghamshire Healthcare NHS Trust, Buckinghamshire HP11 2TT, United Kingdom
Author contributions: Y-Hassan S contributed to the study conception, interpretation of the results, and manuscript write up; De Palma R contributed to interpretation of the results, critical review and manuscript write up; all authors have read and approved the final manuscript.
Conflict-of-interest statement: The authors have no competing interests to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shams Y-Hassan, MBChB, MD, Doctor, Research Scientist, Coronary Artery Disease Area, Heart and Vascular Theme, Karolinska Institutet and Karolinska University Hospital, SE-171 76, Stockholm S-141 86, Sweden. shams.younis-hassan@sll.se
Received: January 20, 2021
Peer-review started: January 20, 2021
First decision: February 28, 2021
Revised: March 18, 2021
Accepted: May 17, 2021
Article in press: May 17, 2021
Published online: June 26, 2021
Peer-review started: January 20, 2021
First decision: February 28, 2021
Revised: March 18, 2021
Accepted: May 17, 2021
Article in press: May 17, 2021
Published online: June 26, 2021
Core Tip
Core Tip: A novel stenting technique for coronary bifurcation lesions (CBLs) is presented. With the help of a guide extension-assisted technique using a GuideLiner mounted on both guidewires in the branches of the bifurcation lesion and advanced to the carina of the bifurcation, a stent can be implanted at the most possible appropriate site of the side branch in side-branch mono-ostial (medina 0, 0, 1) or in the distal mono-ostial (medina 0, 1, 0) in non-true CBLs. The technique can also be used to stent the side branch in two-stent techniques for complex true CBLs (tri-ostial or medina 1, 1, 1).