Istinye University Ulus Liv Hospital
56-year-old patient. Admitted to emergency clinic with chest pain started while resting. He has risk factors of hypertension and hypercholesterolaemia with no ST or T changes on his ECG. Despite CK and CK-MB levels are normal, high sensitive troponin T levels were high. After giving Aspirin 100 mg and Ticagrelor 180 mg coronary angiography was performed. In RCA (Figure 1) and CXA (Figure 2) critical stenosis was not seen. At LAD-D1 bifurcation level a subtotal stenosis with Medina 1,1,1 was seen ( Image 01, Video 01 and Video 01). Process steps, respectively:
As a result in acute coronary syndrome with true bifurcation lesions intervention with double stent methods may be required. DK-CRUSH is a double stent procedure that has been shown to be successful with clinical trials. We presented you a DK-CRUSH case which has been carried out by implanting stent to side branch without making kissing balloon and making final kissing balloon after double stent implantation.