Highlights the need to redesign coronary bifurcation trials to include only true bifurcation lesions for accurate evaluation of complex stenting techniques.
Bifurcation trial results warrant cautious interpretation in true lesions; leaves open optimal one- versus two-stent strategies pending redesigned studies.
Coronary bifurcation lesion intervention is technically challenging with higher complication rates. Many coronary interventional trials have been conducted involving coronary bifurcation lesions in order to compare one-stent with two-stent techniques. However, these trials have major limitation by enrolling all bifurcation lesions, including low-risk lesions so-called not true bifurcation lesions. This manuscript discusses the importance of appropriate designing of clinical trials for evaluation of complex techniques in coronary bifurcation lesions. (J Interven Cardiol 2011;24:295-301).
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Mohammad Reza Movahed (2011) studied this question.