Key result
DK crush stenting outperforms provisional stenting for complex bifurcation lesions, especially in the LMCA.
Why the study?
DK crush stenting has gained popularity due to clinical trial data, prompting a review of clinical trials, technique steps, and troubleshooting.
Does double kissing (DK) crush stenting improve clinical outcomes compared to provisional stenting in patients with complex coronary bifurcation lesions?
Does double kissing (DK) crush stenting improve clinical outcomes compared to provisional stenting in patients with complex coronary bifurcation lesions?
DK crush stenting is considered the best evidence-based approach for complex coronary bifurcation lesions, particularly involving the left main coronary artery, compared to provisional stenting.
Answers are grounded in this paper and cite their sources.
Supports DK crush for complex bifurcations; leaves open need for confirmatory RCTs before practice change.
Double kissing (DK) crush stenting for coronary bifurcation lesions has gain popularity worldwide because of its superior randomized studies data and excellent clinical outcomes. This review evaluates all DK crush clinical trials and studies. It also reveals the contemporary technique steps by steps as well as the trouble shooting with illustrated clinical scenarios. Among all the available evidence, the DK crush technique is superior when compared to the provisional stenting technique for complex bifurcation lesion. DK crush stenting provides the best evidence-based approach to complex bifurcation lesions especially the left main coronary artery bifurcation lesions. Future direction of how to make this DK crush technique better is also proposed.
No takes yet. Share an insight, caveat, or question.
Kwan et al. (2022) conducted a review in Coronary bifurcation lesions. Double kissing (DK) crush stenting vs. Provisional stenting technique was evaluated. Double kissing (DK) crush stenting is superior to provisional stenting for complex bifurcation lesions, particularly left main coronary artery bifurcation lesions.
Synapse has enriched 10 related papers. Consider them for comparative context: