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.
KEYWORDS
bifurcation stenting; technique
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.
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