The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Editorial

Left main PCI: are we giving the kiss the attention it deserves?

EuroIntervention 2020;16:192-194. DOI: 10.4244/EIJV16I3A33

1. Department of Cardiology, Clinical Center of Serbia, Belgrade, Serbia; 2. Faculty of Medicine, University of Belgrade, Belgrade, Serbia


The goal of coronary bifurcation percutaneous coronary intervention (PCI) is optimal stent deployment/apposition, aimed at restoring natural fractal vessel geometry and blood flow pattern. Among different optimisation strategies, the proximal optimisation technique (POT) is recommended by expert consensus as a mandatory procedural step, while the use of kissing balloon inflation (KBI) has shown consistent clinical benefit and should be obligatory in two-stent strategies, whilst it remains optional in provisional side branch (SB) stenting due to conflicting evidence (Table 1).



In this issue of EuroIntervention, Kini et al1 present a sub-analysis of the EXCEL trial (Evaluation of XIENCE ...

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