Dedicated Bifurcation Stents Strategy

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Abstract

Coronary bifurcation lesions represent an area of ongoing challenges in interventional cardiology, mainly due to the higher rate of residual stenosis and restenosis at the side branch ostium. Multiple two-stent bifurcation strategies, including T-stenting, V-stenting, simultaneuos kissing stenting, culotte stenting and classic crush techniques, have no advantages over one-stent techniques. This led to provisional stenting being considered as a mainstream approach, based on the results of numerous randomised trials. Dedicated bifurcation stents have been designed specifically to treat coronary bifurcations with the aim of addressing some of the shortcomings of the conventional percutaneous approach and facilitating the provisional approach. The development of more drug-eluting platforms and larger studies with control groups demonstrating their clinical applicability, efficacy and safety are required before these stents are widely incorporated into daily practice.

Disclosure
The authors have no conflicts of interest to declare.
Correspondence
Shao-Liang Chen, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China. E: chmengx@126.com
Received date
07 July 2009
Accepted date
10 August 2009
Citation
Interventional Cardiology - Volume 4 Issue 1;2009:4(1):70-72
Correspondence
Shao-Liang Chen, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China. E: chmengx@126.com
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