Stenting of Bifurcation Lesions

Abstract

With regard to stenting of bifurcation lesions, the choice between one and two stents, the need for kissing balloon inflation (KBI) following implantation of a single stent, and the optimal two-stent technique have been controversial issues. Some recent studies have provided evidence that the proximal optimization technique (POT) is useful for bifurcation stenting, while other reports have suggested the importance of understanding the relationship between the diameters of the two distal vessels and that of the proximal vessel when performing PCI for bifurcation lesions. Various dedicated bifurcation stents and balloons have been developed. The usefulness of bioresorbable vascular scaffold (BVS) systems when performing PCI for bifurcation lesions has also been suggested.