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Normality distribution of continuous variables was assessed visually with histograms and with the Shapiro–Wilk test. Continuous variables were summarized using⚽️ the median and interquartile range. Categorical variables are presented as frequency counts and percentages. An independent sample T-test was performed⚽️ to assess the difference between the study group and previously reported data. A p value < 0.05 was considered statistically⚽️ significant. The study was investigator-initiated, funded by the local institution. The local ethics committee approved the study. All statistical calculations⚽️ were performed via SPSS version 23 (SPSS, PC version, Chicago, IL, USA).

Proximal optimization balloon is inflated in proximal MV. The⚽️ exact positioning is made by placing the distal balloon marker proximal from the carina tip. The POT balloon is inflated⚽️ several times to ensure complete stent strut apposition in the proximal region. Step III: Balloon’s positioning for POKI. In MV⚽️ the distal balloon marker is exactly at the carina tip. SB balloon is positioned with proximal marker exactly at the⚽️ stent struts borders. The proximal SB balloon marker and MV balloon distal marker could be in parallel or MV balloon⚽️ marker could be a little bit distally in the direction to the carina tip (depending on the specific anatomy).

Therefore, the⚽️ current findings have important clinical implications. This novel stent optimization technique combines the benefits from POT and KBI and may⚽️ provide improved post-PCI results in bifurcation lesions. POKI technique shortens the procedure time by combining POT and KBI in a⚽️ one-step approach. The operator should not be concerned about further carina shifting as SB ostium is dilated simultaneously. Furthermore, the⚽️ visualization of the SB balloon at the stent border provides a firm marker of the carina position and facilitates the⚽️ positioning of the MV POT balloon. If during inflation the POT balloon slips proximally, it should be positioned one marker⚽️ distally after deflation, without doubting excessive carina shifting.

What would be the clinical consequences and if a better angiographic result translates⚽️ into better clinical result is currently under investigation by the present group.

Funding

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