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Double kissing crush bifurcation stenting: step-by-step troubleshooting
Allison B Hall1, Ivan Chavez, Santiago Garcia
1Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, MN, USA.
Summary
The double kissing crush (DK crush) is a widely studied coronary bifurcation stenting technique. This review details the DK crush procedure and offers troubleshooting advice for challenging steps.
Area of Science:
- Interventional Cardiology
- Cardiovascular Surgery
Background:
- Coronary artery disease necessitates advanced stenting techniques.
- Two-stent strategies are crucial for complex coronary bifurcations.
Purpose of the Study:
- To provide a comprehensive guide to the double kissing crush (DK crush) technique.
- To offer practical troubleshooting for performing DK crush stenting.
Main Methods:
- Review of existing literature on DK crush stenting.
- Detailed step-by-step procedural description.
- Identification and explanation of common challenges and solutions.
Main Results:
- The DK crush technique is well-documented for coronary bifurcation stenting.
- Potential difficulties in performing the DK crush technique are identified.
- Solutions and best practices for each stage of the DK crush are presented.
Conclusions:
- The DK crush technique is a valuable tool for coronary bifurcation stenting.
- Mastery of the DK crush technique requires understanding potential pitfalls.
- This review aims to enhance the successful application of DK crush stenting.

