Complex made easy: left anterior descending artery trifurcation lesion completely treated with a single device

Abstract

Coronary trifurcation lesions are a complex subset of lesions. We present a case of a percutaneous intervention of a trifurcation lesion involving the left anterior descending artery and 2 diagonal branches completely treated with one single device, the novel stent-on-a-wire (SOAW) (Svelte Medical Systems), for the whole procedure. The SOAW is an all-in-one device with a bare cobalt-chrome stent mounted on a balloon directly connected to a wire. The stent of the SOAW was deployed in the left anterior descending artery over the ostia of the 2 diagonal branches. Using the same wire plus balloon device of the SOAW, further recrossing in direction of the 2 side branches and balloon dilation of both ostia through the stent struts was possible. Conclusive post-dilatation of the stent was then performed once again with the same SOAW device. The final angiographic result was successful, and patency of the stented segment was confirmed also at 5-month angiographic follow-up.