Culotte or TAP for Side-Branch Stenting in Patients with Bifurcation Lesions?

The culotte technique reduced the degree of restenosis more than the T-and-protrusion approach, but study shortcomings constrict clinical recommendations.

Side-branch stenting is recommended only provisionally for most bifurcation lesions during percutaneous coronary intervention. Still, when it's necessary, which is the best technique? Researchers randomized 300 patients with a coronary bifurcation lesion requiring a side-branch stent to culotte stenting or T-and-protrusion (TAP) stenting, both with drug-eluting stents. In culotte stenting, the stent in the less angulated branch (often the main branch) is rewired across the first stent to implant the second stent with a final kissing balloon inflation in both branches simultaneously; TAP stenting is a modified T-stenting approach in which the side-branch stent protrudes marginally into the main branch.

On the primary outcome, maximal percent …

Reviewing Author

Pascal Meier, MD

Disclosures

Editorial BoardsOpen Heart

Leadership Positions in Professional SocietiesEuropean Society of Cardiology (Communication Committee); European Association of Percutaneous Cardiovascular Interventions (Chair, Web & Communication Committee)

Pascal Meier, MD

Disclosures

Editorial BoardsOpen Heart

Culotte or TAP for Side-Branch Stenting in Patients with Bifurcation Lesions?

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Reviewing Author