Simultaneous Kissing Stenting

Dr. Nadire Işık Erol Algül1
Dr. Ahmet Özdemir2

1Ankara Etlik City Hospital, Department of Cardiology, Ankara, Türkiye
2Ankara Etlik City Hospital, Department of Cardiology, Ankara, Türkiye

ABSTRACT

Coronary bifurcation lesions account for approximately 15-20% of all percutaneous coronary interventions. Due to their complex anatomy, these lesions pose procedural challenges and increase the risk of complica- tions. Maintaining optimal blood flow in both the main and side branches is crucial, especially in critical areas like the left main coronary artery.

In this context, the Simultaneous Kissing Stent (SKS) technique allows for concurrent stent placement in both branches, providing continuous branch access and reducing procedure time without requiring re-wiring. SKS stands out in emergencies that demand rapid intervention because it shortens procedure time and decreases complication rates. However, despite these advantages, the SKS technique has some limitations, such as the potential for neoatherosclerosis leading to restenosis or thrombosis, which can complicate follow-up inter- ventions.

Nonetheless, with the advancement of stent technologies, the effectiveness of SKS is expected to increase, along with its wider application in more complex anatomical structures. Future research may further optimize the clinical applications of SKS, making it a more effective option for managing complex coronary anatomies.

Keywords: Percutaneous coronary intervention; Coronary angiography; Coronary artery disease

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