Journal of Cardiovascular Disease Research
CURRENT TRENDS IN CORONARY BIFURCATION STENTING
Nirmal Kumar Mohanty, Moumita Banerjee, Prasanna Kumar Rathor
JCDR. 2024: 512-527
Abstract
Background: Coronqry Artery Disease(CAD)is rhe important cause of morbidity & mortality worldwide. 15-20% of percutaneous coronary procedures involve bifurcation lesions. Complex anatomy makes these lesions difficult to treat, raising procedure risks and patient outcomes. Objective: To evaluate the current state of coronary bifurcation stenting, including the evolution of techniques and technologies, the challenges faced, and the implications for future clinical practice and research. Review Summary: Since drug-eluting stents (DES) replaced bare-metal stents, restenosis has decreased. To treat bifurcation lesions, provisional, T-, Culotte, and double kissing (DK) crush methods have been devised. Despite these advances, restenosis, stent thrombosis, and side branch blockage still occur, requiring optimized procedural skills and imaging.
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