New bifurcation guidewire technique: a reversed guidewire technique for extremely angulated bifurcation--a case report.

We experienced a successfully treated case who had 99% stenosis with a severe delay of the ostial LAD which bifurcated steeply from the LMT. On treating this extreme situation, we used the newly developed "reversed guidewire" technique, and two Cypher stents were deployed as a cullotte-stent for the LMT bifurcation successfully. The "reversed guidewire" technique is considered to be a useful method for treating of extremely angled bifurcation. Copyright 2008 Wiley-Liss, Inc.