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STATE-OF-THE-ART PAPERS

Contemporary Stent Treatment of Coronary Bifurcations

Centro Cuore Columbus and San Raffaele Hospital, Milan, Italy

Manuscript received March 17, 2005; revised manuscript received April 23, 2005, accepted May 23, 2005.

^_* Reprint requests and correspondence: Dr. Antonio Colombo, EMO Centro Cuore Columbus, 48 Via M. Buonarroti, 20145 Milan, Italy (Email: info{at}emocolumbus.it).

Treatment of coronary bifurcation lesions represents a challenging area in interventional cardiology. The introduction of drug-eluting stents (DES) reduced restenosis in the main branch (MB). However, restenosis at the ostium of the side branch (SB) remains a problem. Although stenting the MB with provisional SB stenting seems to be the prevailing approach, in the era of DES various two-stent techniques emerged (crush) or were re-introduced (V or simultaneous kissing stents, crush, T, culottes, Y, skirt) to allow stenting in the SB when needed. This review describes in detail various techniques used for implantation of two stents by intention to treat.

Abbreviations and Acronyms   DES = drug-eluting stent   MB = main branch   SB = side branch   SES = sirolimus-eluting stent

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