"T"-shaped stent placement: a technique for the treatment of dissected bifurcation lesions

Despite operator experience and improved catheter technology, acute vessel closure is inherently associated with percutaneous transluminal coronary angioplasty (PTCA) of complex lesions. This case study describes a patient who developed an occlusive dissection post PTCA at the bifurcation of the left anterior descending artery (LAD) and its diagonal branch. The "T"-shaped Wiktor stent placement immediately re-establishes full flow, obviating the necessity for emergent surgery.