Figure 1. Inverted crush as a rescue technique for acute side branch occlusion.

A, B) Baseline angiography, lateral (A) and spider (B) views, showing a severe bifurcation lesion at the distal LM (Medina 1,1,1). C) Acute LCx occlusion after LM-LAD stent implantation. Jailed guidewire at LCx (arrows). D) Abluminal inflation of a balloon at LCx advanced through the jailed wire (after previous low-profile balloon dilation). E) Patent LCx while the stent at the LAD remains crushed. F) DES implantation from LM to LCx artery (inverted crush technique). G) Rewiring of the LAD and final kissing balloon inflation. H) Final angiographic result. DES: drug-eluting stent; LAD: left anterior descending artery; LCx: left circumflex artery; LM: left main