No-kiss sleeve: A technical modification of the sleeve technique to treat true bifurcation lesions in the bioresorbable vascular scaffold era

Abstract

True bifurcation lesions run a very high risk of side branch (SB) occlusion, particularly if the bifurcation angle is acute [1]. SB compromise occurs in up to one-third of cases, and may lead to substantial myocardial injury and worse clinical outcomes [2]. Committed two-stent strategies are more reliable approaches to treat this lesion subgroup, albeit technically more demanding. Growing evidences from various studies have shown that two-stent strategies are not inferior to provisional strategy using drug-eluting stents (DES) [3–5].