Key result
Provisional stenting offers a highly successful, preferred stepwise approach for coronary bifurcation lesions.
Why the study?
Bifurcation lesions pose technical challenges during PCI with lower procedural success and higher adverse events, yet each bifurcation lesion is unique and lacks a one-size-fits-all strategy.
This review reinforces provisional stenting as the default strategy for most coronary bifurcation lesions due to its safety and stepwise adaptability.
Supports provisional stenting as default for bifurcation PCI; leaves open refinement for complex subsets in prospective trials.
Bifurcation lesions are encountered and treated in up to 1 in 5 cases of percutaneous coronary intervention (PCI). Such lesions pose a technical challenge to PCI, leading to lower procedural success and a higher rate of long-term adverse events. However, each bifurcation is unique in terms of anatomy and pathological presentation. There is no “one size fits all” strategy for coronary bifurcation PCI. Nevertheless, in most scenarios, provisional stenting is the preferred technique. This method is easy to apply and involves a logical stepwise escalation approach that is highly successful and safe.
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Choo et al. (2022) conducted a review in Coronary bifurcation lesions. Provisional stenting was evaluated. Provisional stenting is the preferred technique for coronary bifurcation lesions, which account for up to 1 in 5 PCI cases, offering a stepwise escalation approach that is highly successful and safe.
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