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Posts Tagged ‘plaque shift cullotte’

Cullotte is a trouser worn by 18th century French aristocrats.Now,in 21st century French interventional  cardiologists  found a striking similarity  of cullotte with  two stent strategy in bifurcation lesion .

Though this technique is in vogue for more than a decade , it has not been popular due to  perceived complexity .

It is making a come back in recent years , as we begin to negotiate bifurcation lesions with better expertise and hardware.

7  steps  in Culotte technique (From NORDIC study )

  1. Wiring  both main and side branch .

  2. Pre-dilatation of  main branch  and/or side branch,( Optional)

  3. Stenting of main branch

  4. Rewiring  side branch  through main branch stent strut,

  5. Stenting of side branch  through  main branch stent,(Now main branch is jailed by side branch stent

  6. Recross main branch  through struts of SB.

  7. Procedure completed with  final kissing balloon dilatation

culotte technique  stenting ptca pci 004

culotte technique  stenting ptca pci

culotte technique  stenting ptca pci 002

Reference

http://heart.bmj.com/content/90/6/713.full.pdf+html

NORDIC CULOTTE TECHNIQUE FOR BIFURCATION STENTING

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