An observational study in Coronary Artery Disease (CAD), Percutaneous Coronary Intervention (PCI) and Bifurcation Coronary Artery Disease, sponsored by San Luigi Gonzaga Hospital. Enrolling by invitation at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-30.
Sponsored by San Luigi Gonzaga Hospital · Observational
Percutaneous coronary intervention (PCI) of complex coronary bifurcation lesions frequently requires an upfront two-stent strategy. While the double kissing crush technique has been extensively studied, limited contemporary data are available comparing alternative two-stent approaches, particularly Minicrush and T-stenting and Culotte, in complex bifurcation anatomy. This study aimed to compare procedural characteristics and long-term clinical outcomes of Minicrush versus Culotte stenting techniques in patients undergoing PCI for complex coronary bifurcation lesions.
This cohort study included all patients with complex coronary bifurcation lesions who received intentional two-stent treatment with the Minicrush or Culotte techniques
Exclusion Criteria:
Culotte Patients
Procedure: Percutaneous Coronary Intervention with Minicrush
The Minicrush and Culotte techniques were performed as upfront two-stent strategies according to standard protocols focusing on minimal side-branch stent protrusion and carina reconstruction, respectively.
Target Lesion Failure (TLF)
Composite of cardiac death, Target Vessel Myocardial Infarction and Target Lesion Revascularization
Time frame: From the enrollment to the end of the study at 5 years
Major Adverse Cardiovascular Events (MACE)
Composite of all-cause of death, Target vessel Myocardial Infarction and Target Vessel Revascularization
Time frame: From the enrollment to the endif the treatment at 5 years
Plan to share: No — Individual participant data will not be available for sharing to protect participant privacy and compliance with informed consent limitations.
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San Luigi Gonzaga Hospital