@article {JilinA110, author = {Chen Jilin and Gao Lijian and Chen Jue and Wu Yongjian}, title = {e0355 Clinical outcomes of percutaneous coronary intervention with stent kissing balloon (SKB) technique in ostial LAD lesions}, volume = {96}, number = {Suppl 3}, pages = {A110--A111}, year = {2010}, doi = {10.1136/hrt.2010.208967.355}, publisher = {BMJ Publishing Group Ltd}, abstract = {Objective To explore a new technique (stent kissing balloon, SKB) for the treatment of special ostial LAD stenosis. Methods From January 2008 to March 2010, 8 patients were enrolled to this study, the including entry creteria were left anterior descending artery (LAD) ostial stenosis\>70\%, and with the angle between LAD and left circumflex artery (LCX) was less than 60{\textdegree}; left main artery diameter was much larger than LAD ostial diameter (\>1 mm), at same time LCX ostial without obvious stenosis lesions. The key point of procedure was as follows: firstly, the stent in LAD and the balloon in LCX should arrive at the positions simultaneously. Secondly, the proximal marker of the balloon was a little ahead of the proximal marker of the stent, then first release the stent with high pressure (12{\textendash}14 atm) and at last inflate the stent and balloon simultaneously (final kissing with 8{\textendash}10 atm). Follow-up was carried out by outpatient, phone calls or coronary angiography. Results The patients average age was 54.4{\textpm}9.0 years, 6 was male, 2 was female, 3 patients with diabetes, four patients with hypertension, one patients with prior myocardial infarction, the characteristics of lesions was diffused in two patients and tubular in 6 patients. The average of diameter stenosis was 86{\textpm}8\%. All the patients accomplished clinical follow-up, average 590{\textpm}202 days (268{\textendash}810 days), there was no major adverse cardiac events (including target lesion revascularization, myocardial infarction and all-cause death), four patients accomplished 6{\textendash}8 angiographic follow-up. There was no in-stent restenosis in these four patients. Conclusions The SKB technique is safety and efficacy for the special ostial LAD lesions, long-term follow-up and large volume patients study is needed to verify the initial results.}, issn = {1355-6037}, URL = {https://heart.bmj.com/content/96/Suppl_3/A110.3}, eprint = {https://heart.bmj.com/content/96/Suppl_3/A110.3.full.pdf}, journal = {Heart} }