Instructive percutaneous coronary intervention to avoid the
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A lotus root appearance is a rare entity, and there is little opportunity to perform coronary intervention for this kind of lesion.We encountered a case of PCI for a stenotic lesion with a lotus root appearance in the mid-portion of the right coronary artery (RCA). To avoid the risk of right ventricular (RV) branch occlusion due to stent deployment in the main RCA, we re-crossed the third guidewire into the main RCA via the nearest point to the RV branch ostium through the communicating vascular lumen. Thereafter, we deployed a drug-eluting stent in the main RCA crossing over the RV branch, and the ostium of the RV branch remained intact, as we expected....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971715/
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