Does a simple stenting strategy improve procedural outcomes compared to a complex stenting strategy in patients with de novo coronary artery bifurcation lesions?
A simple stenting strategy for coronary bifurcation lesions reduces procedure time and biomarker elevation compared to complex stenting, supporting its use as the routine approach.
Independent of stenting strategy, excellent clinical and angiographic results were obtained with percutaneous treatment of de novo coronary artery bifurcation lesions with sirolimus-eluting stents. The simple stenting strategy used in the MV group was associated with reduced procedure and fluoroscopy times and lower rates of procedure-related biomarker elevation. Therefore, this strategy can be recommended as the routine bifurcation stenting technique.
Steigen et al. (Tue,) studied this question.