One-Stent Double-Kissing Nano Crush— Osdokina Crush—Technique Could be a Game- Changer in the Treatment of Medina 0.0.1 Lesion

Single-Stent Double-Kissing Nano-Crush Technique for the Management of Side Branch Ostial Lesions: A Game Changer? Or Just Another Player in the Game?

“…In the clinical setting, management of coronary side branch (SB) ostial lesions (Medina 0.0.1) with stent implantation has always been a challenging strategy due to a variety of factors, including ostial geographic miss and main vessel (MV) compromise (carina shift, dissection, etc.). 1 - 3 Therefore, optimal medical therapy has been the initially preferred strategy in patients with SB ostial lesions. 1 In this context, certain strategies, including the use of drug-coated balloons (DCBs), have also conferred promising results.…”

“… 1 - 3 Therefore, optimal medical therapy has been the initially preferred strategy in patients with SB ostial lesions. 1 In this context, certain strategies, including the use of drug-coated balloons (DCBs), have also conferred promising results. 3 The recently published report by Acar et al 1 have introduced a novel strategy which they have termed as “osdokina crush” (1-stent double-kissing nano-crush) technique.…”

“… 1 In this context, certain strategies, including the use of drug-coated balloons (DCBs), have also conferred promising results. 3 The recently published report by Acar et al 1 have introduced a novel strategy which they have termed as “osdokina crush” (1-stent double-kissing nano-crush) technique. The authors 1 have demonstrated the feasibility of “osdokina crush” in a patient with an obtuse margin ostial lesion.…”

“… 3 The recently published report by Acar et al 1 have introduced a novel strategy which they have termed as “osdokina crush” (1-stent double-kissing nano-crush) technique. The authors 1 have demonstrated the feasibility of “osdokina crush” in a patient with an obtuse margin ostial lesion. This technique might have important technical and clinical implications.…”

“…The technique introduced by Acar et al 1 may be regarded as a variant of the 2-stent nano-crush technique primarily used for the management of true bifurcation lesions. 4 , 5 Both techniques are primarily based on initial SB stent pull-back toward the inflated balloon in the MV followed by SB stent implantation and double-kissing balloon inflation in the later stages.…”