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Bifurcation lesions

Latest bifurcation lesions content in interventional cardiology - research, practice, and education

The percutaneous treatment of coronary bifurcation lesions is very dynamic with an ongoing evolution in clinical approaches and techniques and the management of more complex cases continuing to evolve. Keep up-to-date about all these changes along with the latest research and devices as well as advances in imaging, the use of adjunctive pharmacotherapy, vascular access or understanding bleeding risks. Use the filters below to access PCRonline resources.

Keep on Learning! Benefit from PCR’s wide choice of education continuum on bifurcation lesions: Courses, educative tools and much else besides.

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Bifurcation lesion

238 results

Modern approach to tackle rocky roads

02 Jun 2026

Complex PCI of a calcified vessel in a 72-year-old gentleman with NSTEACS and markedly reduced LV function.

This case highlights how to tackle a challenging access and a difficult coronary lesion in a patient with scarce hemodynamic reserve.

Author

Ivan Vosko

Author

Otar Kvavadze
Dr. Gabor G. Toth

Author

Gabor G Toth
 Modern approach to tackle rocky roads

Side branch additional treatment for coronary bifurcation lesion revascularisation: insights from the KISS randomised trial

01 Jun 2026

In patients with non-left main coronary bifurcation lesions treated with provisional stenting and POT, the KISS randomised trial compares a strategy of no side branch intervention versus systematic side branch treatment.

Reviewer

Aaysha Cader
KISS trial: side branch strategy in coronary bifurcation PCI

Challenging PCI on bifurcation lesions

22 May 2026 – From EuroPCR 2026

Addressing the complexities of PCI in bifurcation lesions, this session highlights novel techniques such as the TAP and modified mini-crush methods, alongside strategies for managing challenging coronary anatomy. Validation of novel approaches like POT-side DCB-POT for left main bifurcations is also featured.

Challenging procedures for bifurcation lesions

22 May 2026 – From EuroPCR 2026

Explore a series of challenging cases in coronary bifurcation interventions, highlighting complex decision-making scenarios, pharmaco-invasive strategies guided by IVUS, and tailored techniques for reintervention. Emphasis is placed on imaging-guided PCI and simplifying complex double bifurcation and long lesion treatments to optimize patient outcomes.

Strategies to enhance bifurcation PCI outcomes

21 May 2026 – From EuroPCR 2026

This session addresses strategies to optimize outcomes in coronary bifurcation PCI. It evaluates the impact of cutting and scoring balloons versus non-compliant balloons on stent expansion, predictors of target vessel revascularization using the POKI technique, and compares stent and non-stent approaches in side branch myocardial infarction...

Bifurcation and heavily calcified lesions

21 May 2026 – From EuroPCR 2026

This session addresses the evaluation and treatment of bifurcation and heavily calcified coronary lesions. It includes case-based discussions on complex left main PCI and the use of drug-coated balloons (DCB) for bifurcation lesions and in-stent restenosis, providing evidence-based approaches to optimize outcomes in these challenging lesion...

Left main interventions: pushing the boundaries

21 May 2026 – From EuroPCR 2026

Examine contemporary strategies for distal left main bifurcation disease treatment, including debates on complex bifurcation and high-risk PCI approaches. The session emphasizes the critical role of coronary imaging in guiding decision-making and showcases clinical cases illustrating management of left main interventions under challenging conditions.

Optimising the results of non-left main bifurcation PCI

21 May 2026 – From EuroPCR 2026

This session focuses on optimizing outcomes in non-left main bifurcation PCI by emphasizing lesion preparation and stent sizing guided by intravascular imaging. It integrates physiological and imaging assessments for confident final result evaluation and discusses criteria for selecting upfront two-stent strategies in bifurcation lesions.

Optimising the results of non-left main bifurcation PCI

Is DCB the new gold standard for side branch treatment in bifurcation?

21 May 2026 – From EuroPCR 2026

This session explores the emerging role of drug-coated balloons (DCB) as a potential new standard for side branch treatment in bifurcation lesions. It focuses on selecting appropriate indications, optimal vessel preparation and delivery timing, and executing stepwise DCB strategies versus hybrid approaches to maximize clinical outcomes.

Is DCB the new gold standard for side branch treatment in bifurcation?

From angiography to precision PCI: integrating ACIST Pro contrast management system and high-definition IVUS imaging

21 May 2026 – From EuroPCR 2026

This EuroPCR 2026 session explores how advanced imaging and contrast management technologies can support a more precise and reproducible PCI workflow. The discussion focuses on the integration of the ACIST Pro contrast management system with high-definition intravascular ultrasound (IVUS) imaging to improve angiographic consistency, optimise contrast...

From angiography to precision PCI: integrating ACIST Pro contrast management system and high-definition IVUS imaging