Nowadays, no studies compare the T-stenting And Minimal Protrusion (TAP) and External Minicrush techniques in treating complex coronary bifurcation, so eventually, procedural, clinical and safety differences remain unknown.
Patients >18 years of age
Patients with an indication for PCI, including chronic coronary syndrome and acute coronary syndromes (STEMI, NSTEMI, unstable angina)
Patients with at least one true coronary bifurcation according to the Medina classification 1.1.1, 0.1.1, 1.0.1, 0.0.1
Patients who do not want or cannot sign the informed consent for the procedure.
Patients with severe peripheral vascular disease that limits vascular access to the point of making the procedure unsafe.
Patients with a life expectancy of <1 year.
Patients with planned major surgery require prolonged discontinuation of antiplatelet therapy.
ACS or CCS patients with complex coronary bifurcation lesions with the indication of PCI.
Case-control
Prospective
Percutaneous Coronary Intervention
Procedure/SurgeryPercutaneous coronary intervention is a procedure that require coronary stenosis dilatation with dilatation catheter balloon and generally stent implantation. The study involve coronary stenosis at bifurcation level that require complex coronary techniques such as External Minicrush or TAP technique.
Target Lesion Failure (TLF)
a composite of cardiac death and target vessel-related myocardial infarction (TV-MI), including Q wave, non-Q wave myocardial infarction (MI), and ischemia-driven target lesion revascularization (TLR)
Stent thrombosis (ST)
Thrombosis of the stent after PCI
Intrastent-restenosis (ISR)
Intrastent restenosis with \>50% of the stent diameter
Target Vessel MI (TVMI)
Target vessel myocardial infarction at follow-up
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