Mini-culotte stenting for bifurcation coronary disease

Coronary bifurcation lesions remain a challenging subset of lesions for percutaneous coronary intervention(PCI)with use of drug-eluting stents.Side branch(SB)is the most problematic lesion with higher rates of instent restenosis leading to the need for revascularization.1The current consensus based on clinical studies have reported that two-stent strategies are required in only a small number of patients.Of currently used complex stenting techniques,culotte stenting is comparable with the others.2-4 Unfortunately,the culotte technique has some limitations,of which double layers of metal struts is