How to do Mini-Crush (minicrush) bifurcation coronary stenting
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How to do Mini-Crush (minicrush) bifurcation coronary stenting
886 viewsAug 10, 2019
YouTubeDoc Vlog
Dr. Neisser Morales Cardiólogo on Instagram: "The mini crush technique is a complex, two-stent strategy in interventional cardiology for treating coronary artery #bifurcation lesions, where a side branch (SB) stent is deployed only 1-2 mm into the main branch (MB), then crushed by the main branch stent, followed by kissing balloon inflations and Proximal Optimization Technique (#POT) for better side branch ostium coverage with minimal stent material overlap compared to classic crush. #interventi
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Dr. Neisser Morales Cardiólogo on Instagram: "The mini crush techni…
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Instagramdrneissermorales
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YouTubeElias Hanna
Mini-crush is a bifurcation PCI technique used when: • Side branch (SB) is large & important • SB disease extends >5 mm • Two-stent strategy is planned Goal 👉 Full SB ostial coverage with minimal metal overlap in the main vessel (MV). ⸻ Step-by-Step Procedure 1️⃣ Wire Both Branches • Advance guidewires into: • Main vessel (MV) • Side branch (SB) ✔️ Ensure good distal wire position in both branches. ⸻ 2️⃣ Predilatation • Predilate SB first (important) • Predilate MV if needed Reason 👉 Makes SB
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