Randomised Comparison of Culotte- versus Double Kissing Crush Stenting in de novo non-left Main Coronary Bifurcation Lesions: Rationale and Design of the Bifurcation Bad Krozingen trial-3 (BBK-3)

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Faridun Rahimi - , University of Freiburg (Author)
  • Nikolaus Löffelhardt - , University of Freiburg (Author)
  • Jan Minners - , University of Freiburg (Author)
  • Philipp Breitbart - , University of Freiburg (Author)
  • Kilian Franke - , University of Freiburg (Author)
  • Tau Sarra Hartikainen - , University of Freiburg (Author)
  • Christian Valina - , University of Freiburg (Author)
  • Constantin v.Zur Mühlen - , University of Freiburg (Author)
  • Thomas Nührenberg - , University of Freiburg (Author)
  • Adnan Kastrati - , Technical University of Munich (Author)
  • Felix Woitek - , Department of Internal Medicine and Cardiology (at Dresden Heart Centre) (Author)
  • Albrecht Elsaesser - , Klinikum Oldenburg - University Medicine (Author)
  • Mohamed Abdel-Wahab - , Leipzig University (Author)
  • Samuel Sossalla - , Justus Liebig University Giessen (Author)
  • Willibald Hochholzer - , Clinic Würzburg Mitte gGmbH (Author)
  • Dirk Westermann - , University of Freiburg (Author)
  • Franz Josef Neumann - , University of Freiburg (Author)
  • Christoph Olivier - , University of Freiburg (Author)
  • Miroslaw Ferenc - , University of Freiburg (Author)

Abstract

Whether culotte or double kissing (DK)-crush stenting is the superior systematic 2-stent technique in non-left main bifurcation lesions is unclear. The BBK-3 (unique identifier NCT 04192760) is a multicenter, prospective, randomized controlled trial to test the hypothesis that culotte stenting reduces maximal percent diameter restenosis at 9-month follow-up compared to DK-crush stenting in de-novo non-left main coronary bifurcation lesions using approved, third-generation drug-eluting stents (DES). A total of 400 patients will be randomized in a 1:1 ratio to receive a two-stent strategy. The primary study endpoint is the maximal percent diameter in-stent restenosis within the bifurcation at 9 months, assessed by quantitative coronary angiography. Secondary endpoints include target lesion revascularization (TLR), the composite of death and myocardial infarction, emergent cardiac bypass surgery and TLR (MACE) at 12 months. BBK-3 will assist in the identification of the preferable, contemporary 2-stent strategy in the treatment of de-novo non-left main coronary bifurcation lesions.

Details

Original languageEnglish
Pages (from-to)1005-1012
Number of pages8
JournalJournal of cardiovascular translational research
Volume18
Issue number4
Publication statusPublished - Aug 2025
Peer-reviewedYes

External IDs

PubMed 40425928

Keywords

Keywords

  • 2-stent strategy, Bifurcation, Culotte, DK-crush, PCI