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Evidence in complex bifurcation lesions requiring planned two-stent strategies is limited. This analysis evaluated the feasibility and short-term outcomes of culotte bioadaptor implantation using intravascular ultrasound (IVUS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirteen consecutive patients underwent bifurcation percutaneous coronary intervention using culotte technique with DynamX bioadaptor between February and October 2025. All procedures followed a standardized culotte protocol with lesion preparation, proximal optimization technique, rewiring, and final kissing balloon inflation, with IVUS used to assess bioadaptor expansion, apposition, and structural integrity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Technical and procedural success was achieved in all patients (100%), with successful rewiring through bioadaptor struts in all attempts (26 of 26, 100%). IVUS demonstrated satisfactory expansion: main branch ostial expansion 94.9%\u2009\u00b1\u200910.6%, side branch ostial expansion 90.2%\u2009\u00b1\u200917.5%, and proximal expansion ratio 0.95\u2009\u00b1\u20090.16. No strut fractures or malapposition occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early experience with bioadaptor implantation in culotte bifurcation stenting demonstrates feasibility, with favorable acute IVUS findings in selected patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s44348-026-00083-8","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T04:01:08Z","timestamp":1784606468000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and short-term outcomes of bioadaptor in bifurcation intervention using culotte technique: intravascular ultrasound analysis from a single-center experience"],"prefix":"10.1186","volume":"34","author":[{"given":"Van","family":"Hoang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giang Tra","family":"Tran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dung Tran","family":"Ngoc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duong Nguyen","family":"Dang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Tran","family":"Van","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cuong Pham","family":"Hung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tien Tran","family":"Dinh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"83_CR1","doi-asserted-by":"publisher","first-page":"34","DOI":"10.4244\/EIJV6I1A6","volume":"6","author":"D Hildick-Smith","year":"2010","unstructured":"Hildick-Smith D, Lassen JF, Albiero R, Lefevre T, Darremont O, Pan M, et al. 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