Abstract
Treating coronary bifurcation lesions accounts for up to 15% of all percutaneous coronary interventions (PCIs). However, PCI remains a most challenging procedure because of the complication of side branch occlusion and increased risk of long-term adverse events. The most important issue in catheterization approaches is to treat the main vessel, whereas the side branch is considered to be the less important. The procedure becomes complicated when the operator attempts to preserve the side branch. The European Bifurcation Club recommendation is still main vessel (MV) stenting with a proximal optimization technique (POT) and provisional side branch (SB) stenting. This strategy is feasible for slender PCI. Based on the data accumulated thus far, slender PCI may be the most suitable treatment for bifurcation lesions.
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