# TAP (T and Small Protrusion) and Culotte Stenting Techniques Versus a Reverse Crush in Case of Bailout of Provisional Stenting

**Authors:** Stefano Cangemi, Dario Buccheri, Vittorio Virga, Massimo Benedetto, Federico Giannino, Francesco Stabile, Federico Inglese, Daniele Vinci, Giovanna Geraci

PMC · DOI: 10.3390/jcdd13010024 · Journal of Cardiovascular Development and Disease · 2026-01-01

## TL;DR

This study compares two stenting techniques for treating complex coronary artery blockages to determine which is more effective.

## Contribution

A novel retrospective comparison of TAP/culotte and reverse crush stenting techniques recommended by the European Bifurcation Club.

## Key findings

- The study compares TAP/culotte and reverse crush stenting techniques for coronary bifurcation lesions.
- It evaluates outcomes when a provisional stenting approach fails.
- The goal is to determine the effectiveness of European Bifurcation Club-recommended techniques versus reverse crush.

## Abstract

Coronary bifurcation lesions are considered among the most challenging lesions to treat with percutaneous coronary intervention (PCI), particularly in cases of extensively diseased branches. In the event of failure of a provisional (one-stent) approach, many two-stent bifurcation techniques can be performed for the treatment of coronary bifurcation lesions. Two techniques (culotte and T/TAP) are suggested by the European Bifurcation Club, but a reverse crush is performed by some operators. This study aims to retrospectively compare these two different approaches (EBC-recommended techniques vs. reverse crush).

## Full-text entities

- **Diseases:** Coronary bifurcation lesions (MESH:D003327)

## Full text

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## Figures

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## References

21 references — full list in the complete paper: https://tomesphere.com/paper/PMC12842578/full.md

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Source: https://tomesphere.com/paper/PMC12842578