ABSTRACT

When dealing with focal lesions, we have to take all the advantages presented by the simplicity of the situation. This means that when the lesion is described as non-calcified and, particularly in the context of single-or double-vessel disease, a consideration for direct stenting should be strongly made. The general principle about direct stenting should not be forgotten, which is ‘if in doubt, don’t do it’. If the operator feels comfortable and believes that the lesion can be stented directly, this should be done without fear of increasing acute or long-term complications or deteriorating the results.