TAP-stenting as bail-out strategy for iatrogenic dissection of left main bifurcation
Bibliographic record
Abstract
Iatrogenic coronary dissection is a rare but potentially catastrophic complication of percutaneous coronary intervention. The proximal left anterior descending artery (LAD) dissection may extend into distal left main bifurcation which may further engulf left circumflex artery (LCx). Here, we report a case of a 69-year-old male where dissection at proximal edge of well deployed stent led to total closure of left circumflex artery causing hemodynamic compromise. It was bailed out using T-and-protrusion (TAP) stenting where LAD and LCx were stented using 3.5x12mm and 3x24 mm sirolimus-eluting stent (Yukon Choice, Translumina) respectively. TAP technique is a feasible and reasonable management strategy for immediate bail-out stenting for this lethal complication
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".