Protect the Side Branch First Treating Complex Bifurcations - Case Study

This large LAD/D1 Medina 1.1.1 bifurcation lesion with complex anatomy needed a different treatment strategy than the provisional method to ensure the D1 remained protected when treating the LAD lesion.

Aggressive predilatation of the D1 was performed with a 2.5/12mm NC balloon. A Tryton 2.5/3.0mm was positioned using the two middle markers of the delivery system.

POT was performed with a 2.5/13mm NC balloon and a 3.0/18mm
DES was used in the LAD.