Objective
to report the 3-year clinical outcomes of PCI treatment of true left main bifurcation lesions using a stepwise provisional strategy or an upfront dual-stent strategy
Study
investigator-initiated open-label multicentre randomised trial
Population
patients with true left main bifurcation lesions
Endpoints
composite of MACE: all-cause death, MI, target lesion revascularisation


Conclusion
Among patients with true left main stem bifurcation lesions, PCI treatment with a stepwise provisional strategy was not statistically different from an upfront dual-stent strategy.
Arunothayaraj et al. Circulation. 2025 Mar 4;151(9):612-622.