title: Is there a need for dedicated devices?
abstract: Although the provisional approach is recommended over a systematic two-stent approach in bifurcation lesions, an a priori two-stent approach may be considered in certain specific anatomies in a minority of cases. Virtual bench test and intravascular imaging studies have provided essential insights into the technical aspects of bifurcation stenting and led to recommendations on how to optimise both the provisional and the two-stent strategies. Dedicated bifurcation stents may further optimise the procedural and clinical outcomes of both strategies. However, randomised data are sparse and more randomised trials are needed to provide evidence as to whether these dedicated devices will indeed improve procedural and clinical outcomes.
authors.affiliation: Amsterdam Heartcenter, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
authors.forename: Joanna J
authors.initials: JJ
authors.lastname: Wykrzykowska
authors.forename: Maik J
authors.initials: MJ
authors.lastname: Grundeken
authors.forename: Goran
authors.initials: G
authors.lastname: Stankovic
authors.forename: Carlo
authors.initials: C
authors.lastname: Di Mario
mesh_terms: D020341:Absorbable Implants; D023921:Coronary Stenosis / Q000601:surgery*; D054855:Drug-Eluting Stents; D006301:Health Services Needs and Demand; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation*; D015607:Stents; D054457:Tissue Scaffolds