{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:50:01Z","timestamp":1791395401083,"version":"4.3.3"},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"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":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Management of coronary perforation in bifurcation lesions with covered stents remains challenging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We aimed to describe a proper practice and toolbox for \u201cjailed\u2010branch\u201d management after covered stent deployment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using a bench model, we tested various wires with a 120\u00b0 angulated microcatheter for their ability to penetrate covered stents to access jailed side branches (SB). Next, four PCI techniques were assessed: Test #1 (main branch [MB] rupture simulation): MB covered stent, graft penetration, and kissing balloon inflation (KBI) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097). Test #2: Test #1 completed with Culotte using a drug\u2010eluting stent (DES) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093). Test #3: Culotte with two covered stents simulating MB and SB rupture (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093). Test #4: Test #3 plus final DES in MB (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>High tip\u2010load wires (\u2009&gt;\u200912\u2009g) successfully penetrated covered stents within 14\u2009s. All procedures were completed successfully. Test #1 showed lumen area reductions of \u20138% (MB) and \u201325% (SB), with graft overhang at the SB. Conversion to Culotte with DES (Test #2) improved SB lumen reduction to \u20138%. Test #3 showed reductions of \u20137% (MB) and \u201315% (SB), with graft overhang at MB, corrected in Test #4 by DES implantation, resulting in +9% lumen gain (MB) and improved SB lumen reduction (\u201311%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this bifurcation perforation in\u2010bench model, high tip\u2010load wires effectively penetrated covered stents toward excluded branches after crossover covered stent implantation. Conversion to Culotte, using either a DES or a second covered stent, was feasible. Overhanging graft material following SB fenestration could be addressed by overstenting with a DES.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70406","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T03:04:51Z","timestamp":1765595091000},"page":"888-897","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bench Testing Analysis of Perforation Management in the Setting of Bifurcation Coronary Intervention"],"prefix":"10.1002","volume":"107","author":[{"given":"Rayyan","family":"Hemetsberger","sequence":"first","affiliation":[{"name":"Department of Cardiology, Internal Medicine II Medical University of Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5662-3766","authenticated-orcid":false,"given":"Anass","family":"Maaroufi","sequence":"additional","affiliation":[{"name":"University Heart Center Graz Medical University Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Hamzaraj","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Internal Medicine II Medical University of Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8068-090X","authenticated-orcid":false,"given":"Judit","family":"Andreka","sequence":"additional","affiliation":[{"name":"University Heart Center Graz Medical University Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6949-8749","authenticated-orcid":false,"given":"Mohammad","family":"Abdelghani","sequence":"additional","affiliation":[{"name":"Cardiology Unit Sohar Hospital Sohar Oman"},{"name":"Cardiology Department Al\u2010Azhar University Cairo Egypt"},{"name":"Cardiology Department Amsterdam University Medical Center University of Amsterdam Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serdar","family":"Farhan","sequence":"additional","affiliation":[{"name":"Lenox Hill Hospital, Northwell Health, Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Lootz","sequence":"additional","affiliation":[{"name":"Biotronik AG B\u00fclach Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Gollmer","sequence":"additional","affiliation":[{"name":"University Heart Center Graz Medical University Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nader","family":"Mankerious","sequence":"additional","affiliation":[{"name":"Heart Center Bad Segeberg Bad Segeberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Hengstenberg","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Internal Medicine II Medical University of Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom W.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Bristol Heart Institute University of Bristol Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabor G.","family":"Toth","sequence":"additional","affiliation":[{"name":"University Heart Center Graz Medical University Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2010.08.026"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20855"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2023.100609"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV12I10A210"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2016.06.056"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12928-014-0254-8"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2017.03.006"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28114"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.07.048"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2022.100407"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytad415"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2023.02.033"}],"container-title":["Catheterization 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