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InterventionalTherapywithTwoBranchVascularOcclusionwithLeftMainCriticalStenosisYANGChengmingDapinghospital,Thirdmilitarymedicaluniversity,Chongqing.Man,78yearsNohypertension,diabetes,hyperlipidemia,andsmokinghistoryChronicbronchitisandemphysemaChesttightnessmorethan1year,Aggravating7days.BP120/75mmHg，ECG：Sinusrhythm,80bpm，STⅡ、Ⅲ、avF、I、avL、V5、V6↓。EF45%ClinicalDataCAGPCI（first）AL0.75，Runthrough，MaverickAweekafter(second)Excel3.0*28mm讨论Thiscasewascomplex,difficultybiggerlesions.AccordingtotheECGandDSA，RCAandLCXwastheonsetofcriminalslesions,becausethepatientage,pulmonaryfunctionandcardiacfunctionwaspoor,familiesdoesnotundergoingCABG,requiredtoPCI.PCIorderwastodealwiththecriminalslesions-RCA,Forfurtherprocessingleftcoronarylesionscreatedconditions.Twoplacebifurcatelesions,LADadoptedthemainbranchvascularinsertingastent,LMusedthemini-Crushtechnology,paralleledtokisstheballoonexpansion,andacquiredbetterclinicaloutcomes.