Novel Three-Stent Strategy in Left Main Coronary Artery Trifurcation Disease - Combination of DK Crush and Culotte Techniques

True trifurcation disease in left main coronary artery is an infrequent but highly complex substrate for percutaneous coronary intervention. Evidence for optimal stenting strategy for such anatomy is lacking. We describe a novel three-stent strategy using a combination of double-kissing crush (DK crush) and Culotte techniques in three patients. This approach, based on established bifurcation stenting techniques, appeared reproducible in all three cases. (c) 2022 Elsevier Inc. All rights reserved.

Automated summary

True trifurcation disease in left main coronary artery is a rare but highly complex substrate for percutaneous coronary intervention. Evidence for optimal stenting strategy for such anatomy is lacking. We describe a novel three-stent strategy using a combination of double-kissing crush (DK crush) and Culotte techniques in three patients, and this approach appeared to be reproducible in all cases.