The use of drug-eluting stents in clinical practice has altered the treatment perspective for bifurcation lesions; however, relatively high rates of stent thrombosis and restenosis are still observed.

A distal left main stenosis is located at a bifurcation and increases risk for adverse outcomes following PCI, as do lesions in other bifurcations in the coronary tree. Palmerini et al.

The British Bifurcation Coronary Study randomized trial of simple versus complex drug-eluting stenting for bifurcation lesions was published recently. In the simple strategy, the main vessel was ...