Abstract
Adriaenssens et al. 1 report a series of 132 patients in whom 134 coronary bifurcation lesions were treated by implantation of two stents using the Culotte technique. This is of particular interest given that most studies on coronary bifurcation treatment report the results of multiple techniques, which renders any valid interpretation of the outcome difficult to achieve. Indeed, it is often impossible to distinguish between the respective effects of technical specificities, lesions characteristics and specific stent features. Furthermore, angiographic follow-up was obtained in 82% of the study population. The overall restenosis rate was 22%; as always, the highest restenosis rate (16%) was observed in the side branch. Twelve-month target lesion revascularization (TLR) was 21% and the rate of stent thrombosis according to the ARC definition was 1.5%. Factors which emerged as predictors of restenosis were a large bifurcation angle and small-diameter side branches. The use of final kissing inflation was associated with … *Corresponding author. Tel: +33 1 60 134602, Fax: +33 1 60 134603, Email: mc.morice{at}icps.com.fr
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