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  Indian J Med Microbiol
 

Figure 3: (Par t I) (a) Coronary angiogram depicting bifurcation lesion (b) Navigation of guidewires into left anterior descending and left circumflex artery, predilatation of left circumflex by 2.5 mm × 15 mm noncomplaint balloon at 12 atm. (c) Stenting of left circumflex with 2.75 × 33 drug-eluting stents at 12 atm with 2–3 mm protrusion into left anterior descending. The balloon is positioned from left main to left anterior descending across left circumflex ostium. (d) Postdilation of left circumflex stent with 2.75 mm × 12 mm noncompliant balloon at 12 atm. (e) Inflation of 3.5 mm × 12 mm noncompliant balloon at 16 atm in left anterior descending crushing the left circumflex stent. (f) First side branch (left circumflex) rewiring through proximal stent cell. (Part II) (g) First kissing balloon inflation of left anterior descending and left circumflex using 3.5 × 12 and 2.75 mm × 12 mm noncompliant balloon with short overlap at 12 atm. (h) Implantation of 3.5 mm × 30 mm drug-eluting stents in left anterior descending at 12 atm (i) The proximal optimization technique of left anterior descending using 4.5 mm × 8 mm noncompliant balloon at 16 atm. (j) Second rewiring of the side branch (left circumflex) through proximal stent cell. (k) Final kissing balloon inflation of left anterior descending and left circumflex using 3.5 × 12 and 2.75 mm × 12 mm noncompliant balloon with short overlap at 12 atm. (l) Final result following re-proximal optimization technique of left anterior descending using 4.5 mm × 8 mm noncompliant balloon at 16 atm

Figure 3: (Par t I) (a) Coronary angiogram depicting bifurcation lesion (b) Navigation of guidewires into left anterior descending and left circumflex artery, predilatation of left circumflex by 2.5 mm × 15 mm noncomplaint balloon at 12 atm. (c) Stenting of left circumflex with 2.75 × 33 drug-eluting stents at 12 atm with 2–3 mm protrusion into left anterior descending. The balloon is positioned from left main to left anterior descending across left circumflex ostium. (d) Postdilation of left circumflex stent with 2.75 mm × 12 mm noncompliant balloon at 12 atm. (e) Inflation of 3.5 mm × 12 mm noncompliant balloon at 16 atm in left anterior descending crushing the left circumflex stent. (f) First side branch (left circumflex) rewiring through proximal stent cell. (Part II) (g) First kissing balloon inflation of left anterior descending and left circumflex using 3.5 × 12 and 2.75 mm × 12 mm noncompliant balloon with short overlap at 12 atm. (h) Implantation of 3.5 mm × 30 mm drug-eluting stents in left anterior descending at 12 atm (i) The proximal optimization technique of left anterior descending using 4.5 mm × 8 mm noncompliant balloon at 16 atm. (j) Second rewiring of the side branch (left circumflex) through proximal stent cell. (k) Final kissing balloon inflation of left anterior descending and left circumflex using 3.5 × 12 and 2.75 mm × 12 mm noncompliant balloon with short overlap at 12 atm. (l) Final result following re-proximal optimization technique of left anterior descending using 4.5 mm × 8 mm noncompliant balloon at 16 atm