AI Article Synopsis

  • Bifurcation lesions in coronary arteries are common and various strategies exist for their percutaneous intervention.
  • The "crush" technique using drug-eluting stents effectively covers severe bifurcation lesions, even in side branches.
  • A case study demonstrated successful use of this technique in a patient with a Y-shaped saphenous graft post-bypass surgery, resulting in good short- and long-term outcomes.

Article Abstract

Bifurcation lesions of native coronary arteries are common in daily practice and different strategies for percutaneous coronary intervention have been suggested for their treatment. The "crush" technique, with the use of drug-eluting stents in both the main and the side branch, is a relatively simple procedure that ensures complete lesion coverage, even for bifurcations that have extensive disease within the side branch. We present the case of a bifurcation lesion in a Y-shaped saphenous venous graft in a patient who had previously undergone coronary artery bypass graft surgery. The literature lacks reports regarding the management of such patients. Implementation of the "crush" technique in the specific case resulted in a satisfactory angiographic and long-term clinical outcome.

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