Basic Approaches and Strategies in Bifurcation Interventions: Inverted Provisional Stenting

Dr. Muhammed Erzurum

Eskisehir Yunus Emre State Hospital, Department of Cardiology, Eskişehir, Türkiye

ABSTRACT

Inverted provisional stenting (IPS) has emerged as the most practical and reliable technique for osteal side branch lesions (MEDINA 0,0,1), serving as a modification of the provisional approach. The procedure is de- scribed as placing a stent from the proximal main branch towards the side branch and performing routine final kissing balloon inflation to ensure reopening of the struts towards the distal main branch. The advantage of this technique is the complete coverage of the side branch ostium with no gaps left. Additionally, in case of complications, placing a second stent is relatively straightforward, which is a key feature that highlights this technique.

Keywords: Inverted provisional stenting; Side branch, Bifurcation

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