Based on the results of numerous randomized trials the provisional approach of implanting one stent on the main branch has become the default approach to most bifurcation lesions. However, bifurcation Intervention still remains technically challenging. Dedicated bifurcation stents have been designed to specifically treat coronary bifurcations with the aim of addressing some of the shortcomings of the conventional percutaneous approach to bifurcation intervention. Majority of the devices are aimed at facilitating the provisional approach. They are an exciting and innovative technology that may further simplify the management and current approach to bifurcation treatment. There are currently eleven devices available that have either completed or are currently undergoing First-In-Man trials. The development of more drug-eluting platforms and larger studies with control groups demonstrating their clinical applicability, efficacy and safety are required before they are widely incorporated into daily practice.
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