Provisional reverse "mini-crush" technique for bifurcation angioplasty

The crush and "mini-crush" techniques have been described previously for complex coronary bifurcation intervention. Typically, the single stent technique, with or without final kissing balloon inflation, has been preferred over the 2-stent method, whenever possible, to minimize stent length or stent overlap. The multiple 2-stent techniques need to be utilized, however, when tackling compromised or dissected large side branches. We describe a new provisional 2-stent technique, which is a modification of the reverse crush technique while minimizing stent overlap at the bifurcation and ensuring good stent coverage at the side branch ostium.