Bifurcation angioplasty using ‘sleeve technique’ [modified minicrush] for non-left-main coronary bifurcation lesions

Bifurcation angioplasty using two stent strategies is always challenging in the Catheterization laboratory to perform and thus, many randomized control trials of bifurcation angioplasty comparing two stent versus single stent have shown provisional angioplasty as a simple strategy with low major adverse cardiac events [MACE] rates. But bifurcation lesions with significant side branch lesions needs a different strategy and often require two stent strategies. Different complex techniques of two stent techniques are described but they are complex to perform with high rate of acute stent thrombosis and major adverse cardiac events [MACE] rate. We describe two cases of bifurcation lesion with the significant side branch disease for which we performed modified crush technique [Sleeve technique] which is technically simple to perform with least major adverse cardiac events [MACE] rate.