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Furthermore, DK crush technique was associated with lower rate of composite major adverse cardiac event (MACE), revascularization and stent thrombosis (ST) for patients with unprotected distal left main coronary artery bifurcation lesions (ULMb), compared to culotte stenting approach.
This, if anything, minimized the effectiveness of the DK crush technique.
We believe that the crush technique is more advantageous compared to the wedge-spread films.
To study this technique in comparison to the classical crush technique, we organized a prospective, multicentre, randomized DKCRUSH-1 trial.
DK crush technique has the potential of increasing FKBI rate and reducing stent thrombosis, with a further reduction of TLR and cumulative MACE rate at 8 months.
Distorted side stent geometry and irregularity in overlapped stent strut layers at the carina of bifurcation are two common geographic characteristics immediately after the classical crush technique.
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Further, performance of a candidate DES using other commonly used stenting procedures for bifurcation lesions such as culotte and crush techniques can be quantified based on their resulting drug distribution patterns and this paradigm can also be extended to predict the effectiveness of dedicated bifurcation stents [33], [34].
Classical and DK crush techniques have been described previously [ 7, 10].
From April 2005 to May 2006, 312 patients scheduled for percutaneous coronary intervention (PCI) of a true coronary bifurcation lesion (Lefevre Classification) [ 3] in eight centres from China, Singapore, India, Japan and the USA were randomized to classical crush versus DK crush techniques.
It was found that aggregates' morphological characteristics can be affected by the material type, size, origin and crushing technique.
Liver transection was performed using the Pean clamp-crushing technique and TissueLink (TissueLink Medical Inc., Dover, DE) or a VIO soft coagulation system (ERBE, Elektromedizin GmbH, Germany).
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