Percutaneous Coronary Intervention for Coronary Bifurcation Lesions: Latest Evidence

  • Sean Tan
  • John Ramzy
  • Sonya Burgess
  • Sarah ZamanEmail author
Coronary Artery Disease (D Feldman and V Voudris, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Coronary Artery Disease


Purpose of review

This paper provides a synopsis of the best evidence to guide bifurcation percutaneous coronary intervention (PCI), with a focus on recent studies. This is with the aim of guiding the interventional cardiologist in choosing the best, evidence-based technique, to treat commonly encountered coronary bifurcations.

Recent findings

Current evidence supports the use of provisional stenting for most anatomically suitable bifurcation lesions. Newer techniques for side branch protection in provisional stenting have been developed. When a two-stent strategy is required, use of a double-kissing crush technique is favoured, particularly in left main bifurcations. For bifurcation PCI, as in all complex procedures, intravascular imaging plays a key adjunctive role in improving procedural success.


PCI for coronary bifurcation lesions is an ever-growing field with significant advancements in techniques and technology.


Bifurcation Coronary artery disease Percutaneous coronary intervention 


Funding Information

Dr. Zaman has been supported by a fellowship (101993) from the National Heart Foundation of Australia.

Compliance with Ethical Standards

Conflict of Interest

Sean Tan declares that he has no conflict of interest. John Ramzy declares that he has no conflict of interest. Sonya Burgess declares that she has no conflict of interest. Sarah Zaman declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Supplementary material

11936_2020_806_MOESM1_ESM.avi (219 kb)
ESM 1 (AVI 218 kb)
11936_2020_806_MOESM2_ESM.avi (178 kb)
ESM 2 (AVI 177 kb)

References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2020

Authors and Affiliations

  • Sean Tan
    • 1
  • John Ramzy
    • 1
  • Sonya Burgess
    • 2
    • 3
  • Sarah Zaman
    • 1
    • 4
    Email author
  1. 1.MonashHeart, Monash HealthMonash Medical CentreMelbourneAustralia
  2. 2.The University of New South WalesSydneyAustralia
  3. 3.Department of CardiologyNepean HospitalSydneyAustralia
  4. 4.Monash Cardiovascular Research CentreMonash UniversityMelbourneAustralia

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