Modified culotte stenting technique for bifurcation lesions: the cross-stenting technique

Despite recent technical advances, the treatment of bifurcation lesions with percutaneous coronary intervention (PCI) remains a challenge. In daily practice, several bifurcation stenting techniques are now being used. However, even in the DES era, many of these techniques are associated with a high incidence of in-stent restenosis. As a result, the debate regarding the optimal treatment of bifurcation lesions remains controversial. This article describes the "cross-stent" technique, a newly modified culotte stent technique for bifurcation lesions, which alleviates several technical limitations associated with previous two-stent techniques.