T-provisional Stenting vs Mini-Crush in Chronic Total Occlusions (CTO)

Results of T-provisional and Mini Crush Stenting in Patients With Bifurcation Lesions After Chronic Coronary Arteries Occlusions Recanalization: A Prospective Randomized Single-center Study.

The aim is to compare the results of using T-provisional and Mini-Crush stenting techniques in patients with bifurcation lesions in the CTO segment.

Inclusion Criteria:

• Patients considered for coronary angioplasty with stenting due to Ischemic heart disease (Stable angina, Unstable angina, non-ST Myocardial Infarction).
• Bifurcation side branch diameter >2 mm in CTO segment, verified by coronary angiography
• Successful CTO recanalization
• Signed, documented informed consent prior to admission to the study

Exclusion Criteria:

• Age <18 years or >75 years
• Left main artery bifurcation lesion
• Reocclusion CTOs
• Renal insufficiency (GFR/MDRD <30 ml/min)
• Subject has a platelet count < 100,000 cells/mm3 or > 700,000 cells/mm3.
• Known non-adherence to double anti-platelet therapy (DAPT)
• LVEF <30%
• Continuing bleeding
• Acute coronary syndrome (ST-elevation Myocardial infarction)
• Anamnesis of previous CABG
• Pregnancy