{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T16:43:12Z","timestamp":1783528992995,"version":"3.55.0"},"reference-count":3,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Acute thrombotic occlusion of the left main coronary artery with quadrifurcation anatomy is exceptionally rare, confers a high risk of early mortality, and poses substantial management challenges. We describe a case of acute left main coronary artery occlusion, successfully treated using an ultra\u2010low contrast (25\u2009mL) provisional single\u2010stent strategy with a balloon\u2010embedded technique. Six\u2010month follow\u2010up angiography confirmed a patent stent in the left main coronary artery, with angiographically unchanged lesions in the diagonal branch, left circumflex artery, and obtuse marginal branch. The patient demonstrated improved left ventricular function and sustained clinical stability, highlighting the feasibility of provisional stenting in quadrifurcation lesions even in resource\u2010constrained settings.<\/jats:p>","DOI":"10.1002\/ccd.31706","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T00:20:31Z","timestamp":1750378831000},"page":"1421-1424","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ultra\u2010Low Contrast Balloon\u2010Embedded PCI for Acute LMCA Occlusion With Quadrifurcation Anatomy in a Resource\u2010Constrained Setting"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0247-064X","authenticated-orcid":false,"given":"Kapil","family":"Rajendran","sequence":"first","affiliation":[{"name":"Department of Cardiology Global Cardiac Centre Adimali Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun Jude","family":"Alphonse","sequence":"additional","affiliation":[{"name":"Department of Cardiology Government TD Medical College Alappuzha  Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1956-8937","authenticated-orcid":false,"given":"Vinayakumar","family":"Desabandhu","sequence":"additional","affiliation":[{"name":"Department of Cardiology Government TD Medical College Alappuzha  Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,19]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2017.07.010"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001060"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573403X18666220406113517"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31706","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.31706","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31706","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:05:01Z","timestamp":1771221901000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.31706"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,19]]},"references-count":3,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1002\/ccd.31706"],"URL":"https:\/\/doi.org\/10.1002\/ccd.31706","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,19]]},"assertion":[{"value":"2025-05-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}