Abstract
Coronary artery bifurcation lesions pose a particular challenge in the field of interventional cardiology. Bifurcation interventions are associated with a higher rate of short- and long-term complications, with restenosis at the ostium of the side branch remaining the biggest problem. Currently, stenting the main branch with provisional side branch stenting is the prevailing approach. However, there are situations in which a two-stent technique might be needed to allow stenting into the side branch. New dedicated bifurcation stents have been proposed, in an attempt to overcome limitations associated with current approaches and have demonstrated promising results in early studies; however, the safety and efficacy of these devices remain to be seen in the ongoing and upcoming trials. This article focuses on the current approaches employed for the treatment of bifurcation disease.
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