Stenting with a true bifurcated stent: acute and mid-term follow-up results

The FRONTIER Stent Registry

“…Percutaneous treatment of coronary bifurcation lesions remains challenging (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), and a variety of approaches using kissing, skirt, trousers, T stenting, and others have been published (7,12,14 -18). However, coronary stenting in bifurcation lesions is still associated with a lower procedural success and higher rate of restenosis compared with nonbifurcation lesions.…”

The “Y” Stent: A Technique Using Nitinol Stents to Treat Bifurcations

“…Other techniques, such as placing ''kissing'' stents or fenestrating side holes in stents, have been used successfully at branching points, and some prototypical hinged stents are being marketed, but each of these techniques has distinctive disadvantages. [1][2][3] Although most reports are anecdotal, clinical sequelae of stenting over branch orifices include buttock claudication and even genital necrosis after covering the internal iliac artery. 4 Bifurcated stent-grafts for abdominal aortic aneurysms are manufactured by a number of medical device companies, but bifurcated stents for the treatment of bifurcational occlusive disease are not available.…”