ABSTRACT
Approximately 15"-20" of percutaneous coronary interventions (PCI) are performed to treat coronary bifurcations and those procedures are recognised for being technically challenging and associated with lower procedural success rates and worse clinical outcomes compared with non-bifurcation lesions. Ramifications of the coronary tree follow the natural law of minimum energy expenditure in providing the underlying myocardium with the optimum amount of blood required. Stenting of the Side branch (SB) is clearly indicated in occasions of major SB dissections or compromised SB flow after final kissing inflation (FKI). However, the problem of residual stenosis is still controversial because angiographic assessment of the SB ostium is not easy. The V-stenting and the simultaneous kissing stent techniques are performed by simultaneous implantation of two stents. Both branches are wired and fully pre-dilated. Bioresorbable scaffolds provide a new tool for percutaneous treatment of coronary bifurcation lesions. Selection of appropriate strategy for individual bifurcation lesion and optimal procedural result ensure satisfactory early and long-term clinical outcome.
