Acar, EmrahGüneş, Yılmazİzgi, İbrahim AkınKırma, Cevat2024-07-032024-07-032023Acar E, Güneş Y, İzgi İA, Kırma C. Reply to letter to the editor: “Single-stent double-kissing nano-crush technique for the management of side branch ostial lesions: A game changer? Or just another player in the game?” Anatol J Cardiol. 2023;27(10):613-614.2149-22632149-2271http://dx.doi.org/10.14744/AnatolJCardiol.2023.3696https://hdl.handle.net/20.500.12491/12236To the Editor, We would like to thank the authors1 for reading and thoroughly analyzing our case report.2 Isolated ostial side branch (SB) lesions, also known as Medina 0.0.1 lesions, are among the most fascinating lesions in terms of percutaneous coronary procedures performed in coronary bifurcation lesions.3 Stenting the ostial lesion and balloon angioplasty with atherectomy on the ostial lesion are the 2 main types of percutaneous coronary interventional procedures for Medina 0.0.1 lesions in the literature.4 The biggest argument against balloon-based treatment is that if ostial lesions with a high tendency to dissect and recoil are not covered by a “stentscaffold,” it may increase the risk of target lesion revascularization and target vessel revascularization.4 The “One Stent DOuble KIssing NAno CRUSH (OSDOKINA) technique,” which we have outlined, has a number of potential advantages. The ostial lesion is first to be entirely covered with a stent. Second, the major branch has a nano-protruding SB stent. Third, nano-protruded stent components are crushed in the main branch using an non-compliant balloon. There are 2 kissing balloon inflations to overcome the carina and plaque shift. Finally, a 1 : 1 sized drug-eluted balloon is inflated at the main branch for 90 seconds at 14 atm to prevent balloon-induced barotrauma from causing main branch restenosis.eninfo:eu-repo/semantics/openAccessMedina 0.0.1 LesionsOne Stent DOuble KIssing NAno CRUSH (OSDOKINA)Letter10.14744/AnatolJCardiol.2023.36962710613614377863262-s2.0-85173063744Q3WOS:001107694000003Q3