SCAI Bifurcation Club Webinar Series: Procedural Approaches and Techniques for Complex Lesions-Culotte Technique

Video Transcription

Video Summary

The speaker begins by discussing various techniques for bifurcation stenting, focusing on the advantages and disadvantages of traditional techniques such as provisional, tap, culotte, and decay crush. They highlight factors to consider such as side branch osteal coverage, neocarina formation, multiple layers, hotspots for malposition, and technical complexity. For the traditional culotte technique, the speaker explains the steps involved, including standing one branch with slight protrusion, performing proximal optimization using a suitable balloon, rewiring, predilation, fitting the stent to the distal branch, performing a second proximal optimization, rewiring again, performing kissing, and final proximal optimization. The video ends by transitioning to another presenter, Reb, who will showcase a case related to the culotte technique. No credits were provided. Word count: 235.

Asset Subtitle

Gabor G. Toth, MD

Keywords

bifurcation stenting

traditional techniques

culotte technique

proximal optimization

case presentation