🚀 Mastering the Mini-Crush Stenting Technique (Step-by-Step) 🚀 Indication : it ensures excellent coverage of the side branch (SB) ostium while minimizing the amount of metal "crushed" in the main vessel (MV). 🔭 Here is your visual guide to getting it right, including that crucial Final POT! 💉👇 🛠 The Setups: _( the seven steps )_ 🪜 • Access: 6F or 7F (7F preferred for easier gear movement). • Wires: Wire both the Main Vessel (MV) and the Side Branch (SB). • Prep: Pre-dilate both branches t
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🚀 Mastering the Mini-Crush Stenting Technique (Step-by-Step) 🚀 Indication : it ensures excellent coverage of the side branch (SB) ostium while minimizing the amount of metal "crushed" in the main vessel (MV). 🔭 Here is your visual guide to getting it right, including that crucial Final POT! 💉👇 🛠 The Setups: _( the seven steps )_ 🪜 • Access: 6F or 7F (7F preferred for easier gear movement). • Wires: Wire both the Main Vessel (MV) and the Side Branch (SB). • Prep: Pre-dilate both branches t
2.9K views8 months ago
FacebookCardiophilia
Mini Crush Stenting Technique With Final POT #medical #PCR #cardio #PCI #hearthealth | Heart Matters
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Mini Crush Stenting Technique With Final POT #medical #PCR #cardio #PCI #hearthealth | Heart Matters
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Dr. Neisser Morales Cardiólogo on Instagram: "The mini crush technique is a complex, two-stent strategy in interventional cardiology for treating coronary artery #bifurcation lesions, where a side branch (SB) stent is deployed only 1-2 mm into the main branch (MB), then crushed by the main branch stent, followed by kissing balloon inflations and Proximal Optimization Technique (#POT) for better side branch ostium coverage with minimal stent material overlap compared to classic crush. #interventi
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Dr. Neisser Morales Cardiólogo on Instagram: "The mini crush technique is a complex, two-stent strategy in interventional cardiology for treating coronary artery #bifurcation lesions, where a side branch (SB) stent is deployed only 1-2 mm into the main branch (MB), then crushed by the main branch stent, followed by kissing balloon inflations and Proximal Optimization Technique (#POT) for better side branch ostium coverage with minimal stent material overlap compared to classic crush. #interventi
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Mini-crush is a bifurcation PCI technique used when: • Side branch (SB) is large & important • SB disease extends >5 mm • Two-stent strategy is planned Goal 👉 Full SB ostial coverage with minimal metal overlap in the main vessel (MV). ⸻ Step-by-Step Procedure 1️⃣ Wire Both Branches • Advance guidewires into: • Main vessel (MV) • Side branch (SB) ✔️ Ensure good distal wire position in both branches. ⸻ 2️⃣ Predilatation • Predilate SB first (important) • Predilate MV if needed Reason 👉 Makes SB
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COMPLEX BIFURCATION PCI in Acute M. I using 2 stents with MINICRUSH technique: • Simple getting more Complex with increasing prevalence of Heart Disease. Primary PCI, a proceure to open an acutely blocked artery during Heart Attack has its own challenges (clots clogging vessels, unstable patient, logistic and finacial issues) as well as achieving a time bound blood flow in less than 90 minutes. However as the Coronary disease is becoming more prevalent, frequently there is a need of complex proc
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