TY  - BOOK
AU  - Ben-Dor, Itsik
AU  - Bernardo, Nelson L
AU  - Case, Brian Christopher
AU  - Chezar-Azerrad, Chava
AU  - Forrestal, Brian John
AU  - Hashim, Hayder
AU  - Medranda, Giorgio Arturo
AU  - Rogers, Toby
AU  - Satler, Lowell F
AU  - Waksman, Ron
AU  - Yerasi, Charan Teja Reddy
TI  - Cases of Early, Aggressive In-Stent Restenosis in Left Main Double Kissing (DK) Crush Technique and Treatment Options
SN  - 1878-0938
PY  - 2021///
KW  - *Coronary Artery Disease
KW  - *Coronary Restenosis
KW  - *Drug-Eluting Stents
KW  - Aged
KW  - Coronary Angiography
KW  - Coronary Artery Disease/dg [Diagnostic Imaging]
KW  - Coronary Artery Disease/su [Surgery]
KW  - Coronary Restenosis/dg [Diagnostic Imaging]
KW  - Coronary Restenosis/et [Etiology]
KW  - Coronary Restenosis/th [Therapy]
KW  - Humans
KW  - Prospective Studies
KW  - Stents
KW  - Treatment Outcome
KW  - MedStar Heart & Vascular Institute
KW  - Letter
N1  - Available in print through MWHC library: 2002 - present
N2  - BACKGROUND/PURPOSE: We present three recent cases at our institution that demonstrate early, aggressive in-stent restenosis (ISR) of double-kissing (DK) crush technique despite careful adherence to the technique and compliance of the patient. There are multiple percutaneous coronary intervention strategies for left main (LM) coronary artery bifurcation disease. The DK crush technique has gained popularity for the treatment of complex bifurcation lesions, including distal LM bifurcations; CONCLUSIONS: DK crush for unprotected LM distal bifurcation can result in aggressive ISR with tissue proliferation and target vessel failure despite adhering to all steps of the technique. More research is warranted before DK crush is adopted as the default technique for bifurcation lesions. Copyright (c) 2020 Elsevier Inc. All rights reserved; METHODS/MATERIALS: We reviewed clinical and procedural characteristics of three recent patients who presented at our tertiary center with non-ST-elevation myocardial infarction (NSTEMI) in the setting of early, aggressive ISR of DK crush. All patients underwent imaging-guided DK crush stenting with full adherence to all steps of the technique; RESULTS: The median age was 65 years, median follow-up was 8 months from initial DK crush, and all three patients presented with NSTEMI. Patients had significant ISR in both limbs of the bifurcation involving aggressive tissue proliferation. These patients were treated differently: intracoronary brachytherapy, direct stenting, and coronary artery bypass grafting
UR  - https://dx.doi.org/10.1016/j.carrev.2020.09.044
ER  -