Double Bifurcation Stenting in Complex Coronary Disease

Bifurcation lesions consists of 15-20% of all percutaneous interventions. Bifurcation stenting is still complex and associated with high risk of stent thrombosis and restenosis. Although provisional approach has been proved to be the standard strategy of treatment. There is still lack of evidences for multiple steps of the procedure. For so many years we have been focused on the optimization of side branch (SB), but the clinical outcome is mostly dependent on the main vessel (MV) stenting. The optimal expansion of MV stent without the compromise of SB is the ultimate goal to achieve in the coronary bifurcation stenting. Here we report a case of complex bifurcation lesion for whom we successfully treated with double bifurcation stenting.