The treatment of coronary bifurcation lesions has evolved from balloon angioplasty to stenting, remaining a highly debated topic in interventional cardiology.
Persistent debate advises individualized bifurcation strategies; leaves open optimal technique selection pending dedicated trials.
resulting in lowerangiographic success rates, higher complication rates andincreased risk of restenosis. Therefore, the treatment of coronarybifurcation lesions is part of the history of coronary angioplasty andkissing balloon inflation for example was strongly recommended asearly as the 80s.Though the use of bare metal stents (BMS) and subsequently drug-eluting stents (DES) was instrumental in improving acute results, anumber of difficulties still remained to be overcome. Manytherapeutic strategies, techniques, tips and tricks have beenproposed, some of them in contradiction with simple basic data; allthis has made the topic of coronary bifurcation treatment one of themost debated issues in the field of interventional cardiology.
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Lefèvre et al. (2010) studied this question.
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