Bifurcation Stenting - The Left Main and Coronary Artery Bifurcation Lesion Summit (CBS)

Abstract

Evolution of the Crush Technique for Bifurcation Stenting
Selection of stenting approach for coronary bifurcation lesions
The European bifurcation club Left Main Coronary Stent study: a randomized comparison of stepwise provisional vs. systematic dual stenting strategies (EBC MAIN)
Validation of bifurcation DEFINITION criteria and comparison of stenting strategies in true left main bifurcation lesions
Effect of low-density lipoprotein cholesterol on the geometry of coronary bifurcation lesions and clinical outcomes of coronary interventions in the J-REVERSE registry
Asia Pacific Consensus Document on Coronary Bifurcation Interventions
Double-Kissing Culotte Technique for Coronary Bifurcation Stenting - Technical evaluation and comparison with conventional double stenting techniques
In vitro flow and optical coherence tomography comparison of two bailout techniques after failed provisional stenting for bifurcation percutaneous coronary interventions
Effect of Side Branch Predilation in Coronary Bifurcation Stenting With the Provisional Approach - Results From the COBIS (Coronary Bifurcation Stenting) II Registry
T and small protrusion (TAP) vs double kissing crush technique: Insights from in-vitro models

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Review Article

2021 Nov, 14 (21) 2315–2326

JOURNAL：J Am Coll Cardiol Intv.

Article Link

Evolution of the Crush Technique for Bifurcation Stenting

S Chatterjee, AC Fanaroff, C Parzynski et al.

3626

Keywords: bifurcation stenting; technique

ABSTRACT

Bifurcation lesions are frequently encountered, associated with greater procedural complexity and consequently are at higher risk for restenosis and stent thrombosis. Early trials in bifurcation percutaneous coronary intervention favored a provisional stenting approach, but contemporary randomized trials have highlighted potentially superior outcomes using a double-kiss crush technique in unprotected distal left main stem bifurcation lesions. Although the evidence is greatest for double-kiss crush, many operators favor a mini-crush or nano-crush single-kiss approach. In this review, the authors describe the iterations of the crush technique and the evidence for each and review general principles for bifurcation percutaneous coronary intervention.