A 46 year old female, presented to our emergency department with complaints of breathlessness and chest pain. She had an episode of blacking out and 3-4 episodes of vomiting.

Patient was taken up for Coronary Angiography immediately.
Coronary angiogram showed tight left main bifurcation with unstable haemodynamics. We decided on doing DK Crush Bifurcation stenting.

The double kissing (DK) crush technique is an established approach as has showed lower TVR compared to provisional stenting and Cullote technique. The plan of the technique is first stenting the side branch fully covering the angle and then stenting the main vessel. Patients with bifurcation lesions amenable to PCI are randomly assigned to a rTAP or a DK crush procedure. Clinical follow-up visits are performed at 1, 6, 8, and 12 months. Follow- up coronary angiography is performed at 8 months after the index procedure.

Patient is now recovering well and the angiogram shows significant improvement.