CURRENT TRENDS IN CORONARY BIFURCATION STENTING

Abstract

Background: Coronqry Artery Disease(CAD)is rhe important cause of morbidity & mortality worldwide. 15-20% of percutaneous coronary procedures involve bifurcation lesions. Complex anatomy makes these lesions difficult to treat, raising procedure risks and patient outcomes. Objective: To evaluate the current state of coronary bifurcation stenting, including the evolution of techniques and technologies, the challenges faced, and the implications for future clinical practice and research. Review Summary: Since drug-eluting stents (DES) replaced bare-metal stents, restenosis has decreased. To treat bifurcation lesions, provisional, T-, Culotte, and double kissing (DK) crush methods have been devised. Despite these advances, restenosis, stent thrombosis, and side branch blockage still occur, requiring optimized procedural skills and imaging.