SCIENTIFIC JOURNAL of the Hungarian Society of Cardiology

Evolving coronary bifurcation intervention techniques. Can „double kiss” change our routine?

█ Review

DOI: 10.26430/CHUNGARICA.2020.50.4.239

Viktor Sasi, Gyula Szántó, Attila Thury, András Katona, Róbert Sepp,
Attila Nemes, Imre Ungi
Division of Invasive Cardiology, Department of Medicine, Medical Faculty, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary
Address for correspondence: Viktor Sasi, MD, PhD, Division of Invasive Cardiology,
Albert Szent-Györgyi Clinical Center, University of Szeged, Hungary, H-6725 Szeged, Semmelweis str. 8.


In the coronary tree, there are several major coronary side branch ostia. If the daughter vessels are estimated to supply 10% of the myocardium then they could be considered as not negligible vessels. In the past 25 years, there have been several efforts to describe and classify the “coronary bifurcation”. In the past decade, a consensus has been reached by the European Bifurcation Club to use the “Medina Classification” for description of true bifurcation lesions. To describe the treatment options for a true bifurcation the MADS classification has been proposed. The European Bifurcation Club insists on supporting the so called “provisional stenting” technique, but lately with the development of new generation devices the “2-stent strategy” has evolved and shows convincing long term results, thus for complex anatomy it could be the first line planned strategy for treatment.


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