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.
Original language | English (US) |
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Pages (from-to) | 2315-2326 |
Number of pages | 12 |
Journal | JACC: Cardiovascular Interventions |
Volume | 14 |
Issue number | 21 |
DOIs | |
State | Published - Nov 8 2021 |
Keywords
- DK-crush
- bifurcation
- crush
- mini-crush
- nano-crush
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine