Registry on a new T technique for bifurcation coronary lesions: the Utrech-"T"- experience

EuroIntervention. 2007 Aug;3(2):262-8. doi: 10.4244/eijv3i2a45.


Aims: The goal of this study was to clinically evaluate the effectiveness of a new coronary stenting approach for bifurcation lesions designed to provide adequate main and side-branch ostial scaffolding and provide a simplified technique.

Methods and results: The technique was used in 100 consecutive patients with suitable bifurcation lesions. Sequential placement of two stents was performed in all patients, resulting in complete coverage of the bifurcation ostium and carina with minimal crushing of a small portion of the side-branch stent. Clinical follow-up was done for a six months period. The rate of clinically driven target vessel revascularisation at six months was 4%. One patient died during follow-up. Subacute thrombosis occurred in two patients.

Conclusions: Treatment of bifurcation lesions using this new approach is feasible, with a low rate of procedural and clinical events. Larger trials with angiographic follow-up are necessary to prove the potential advantage of this approach relatively to the currently used techniques for the treatment of coronary bifurcations.