Korean Circ J.  2024 Nov;54(11):677-692. 10.4070/kcj.2024.0158.

Demystifying the Quandary of Ostial Stenting

• Dash D
• Mody R
• Dash U
• Mylarappa YP
• Mody B

• KMID: 2560661
• DOI: http://doi.org/10.4070/kcj.2024.0158

Abstract

Accurate stent placement is known to be hampered by the anatomical nature of percutaneous coronary intervention (PCI) of ostial lesions, such as aorta-ostial lesions and Medina 001 bifurcation lesions. The Ostial Pro device, the aorta floating wire technique, the stent pullback technique, the Szabo (tail-wire) techniques, the marker wire technique, the T-stent and small protrusion technique, the cross-over 1-stent technique, and new dedicated ostial stents are some of the techniques used to achieve perfection in precise ostial stent placement. The current state of knowledge about ostial PCI and novel approaches for optimizing these procedures are compiled in this review.

Keyword

Coronary angiography; Percutaneous coronary intervention; Stent