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  Indian J Med Microbiol
 

Figure 2: Left main - left anterior descending and left circumflex bifurcation percutaneous intervention (a) showing mid-left anterior descending stent, Xience Prime® 3.0 mm × 38 mm with proximal and distal edges in angiographically healthy areas (orange arrows) (b) From ostial left main to mid-left anterior descending Xience Prime® 3.5 mm × 33 mm (orange arrows) with adequate coverage of the left main ostium (c) First proximal optimization technique in left main with 5 mm × 8 mm noncompliant balloon (orange arrow) before left circumflex wire recrossing (d) Recrossing left main to left circumflex (orange arrows) before first kissing balloon inflation (e) First kissing balloon inflation done with 3.75 mm noncompliant balloon in left main - left anterior descending (arrow head) and 3.0 mm noncompliant balloon in left main - left circumflex (orange arrow) (f) 5 mm × 8 mm noncompliant balloon (orange arrow) inflation was used to do the 2nd proximal optimization technique. (g) Stent boost showing left circumflex wire crossing under the deformed left main stent (orange arrow).

Figure 2: Left main - left anterior descending and left circumflex bifurcation percutaneous intervention (a) showing mid-left anterior descending stent, Xience Prime® 3.0 mm × 38 mm with proximal and distal edges in angiographically healthy areas (orange arrows) (b) From ostial left main to mid-left anterior descending Xience Prime® 3.5 mm × 33 mm (orange arrows) with adequate coverage of the left main ostium (c) First proximal optimization technique in left main with 5 mm × 8 mm noncompliant balloon (orange arrow) before left circumflex wire recrossing (d) Recrossing left main to left circumflex (orange arrows) before  first kissing balloon inflation (e) First kissing balloon inflation done with 3.75 mm noncompliant balloon in left main - left anterior descending (arrow head) and 3.0 mm noncompliant balloon in left main - left circumflex (orange arrow) (f) 5 mm × 8 mm noncompliant balloon (orange arrow) inflation was used to do the 2<sup>nd</sup> proximal optimization technique. (g) Stent boost showing left circumflex wire crossing under the deformed left main stent (orange arrow).