Treatment strategies for coronary bifurcation lesions made easy in the current era by introduction of the BIFURCAID app

Future Cardiol. 2019 Jan;15(1):39-52. doi: 10.2217/fca-2018-0068. Epub 2019 Jan 15.


Coronary bifurcation lesions account for 15-20% of all percutaneous coronary interventions. Percutaneous revascularization of these lesions is technically challenging and results in lower success rates than nonbifurcation lesions. There are unique procedural considerations and techniques that are employed in the percutaneous revascularization of these lesions. Our objective is to define the procedural complexities of treating coronary bifurcation lesions and describe the leading provisional and dedicated two stent techniques used to optimize procedural and clinical results, as described in the BIFURCAID app.

Keywords: BIFURCAID app; DK crush technique; T-stenting and small protrusion; bifurcation stenting techniques; coronary bifurcation lesions; culotte technique; mini-crush technique; provisional stenting; reverse T-stenting; simultaneous kissing and V-stenting techniques.

MeSH terms

  • Coronary Angiography
  • Coronary Artery Disease / diagnosis
  • Coronary Artery Disease / surgery*
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / surgery*
  • Drug-Eluting Stents*
  • Humans
  • Percutaneous Coronary Intervention / methods
  • Percutaneous Coronary Intervention / standards*
  • Practice Guidelines as Topic*
  • Prosthesis Design
  • Risk Factors