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Active SB-P Versus Conventional Approach to the Protection of High-Risk Side Branches: The CIT-RESOLVE Trial Validation of bifurcation DEFINITION criteria and comparison of stenting strategies in true left main bifurcation lesions Classification and treatment of coronary artery bifurcation lesions: putting the Medina classification to the test ‘Small bifurcation?’ CT myocardial mass volume measurements change therapeutic strategy in coronary artery disease One Versus 2-stent Strategy for the Treatment of Bifurcation Lesions in the Context of a Coronary Chronic Total Occlusion: A Multicenter Registry Randomized study on simple versus complex stenting of coronary artery bifurcation lesions: the Nordic bifurcation study T and small protrusion (TAP) vs double kissing crush technique: Insights from in-vitro models Percutaneous Coronary Intervention For Bifurcation Coronary Lesions.The 15th Consensus Document from the European Bifurcation Club Optimal Fluoroscopic Projections of Coronary Ostia and Bifurcations Defined by Computed Tomographic Coronary Angiography Contemporary techniques in percutaneous coronary intervention for bifurcation lesions
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Review Article2021 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

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.
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