Management of bifurcation and trifurcation lesions requires careful planning to address both the main vessel and the side branches. Interventional cardiologists and vascular surgeons may employ various strategies, including provisional stenting, culotte technique, or T-stenting, depending on lesion complexity and anatomical considerations.

During the procedure, a catheter is guided to the site of the lesion, and a balloon or stent is deployed to widen the narrowed artery and restore blood flow. Techniques such as kissing balloon inflation or dedicated bifurcation stent deployment may be utilized to ensure optimal coverage of both the main vessel and side branches.

After treatment, patients require close monitoring for complications such as restenosis (re-narrowing of the artery), thrombosis (clot formation), or side branch compromise. Medications to prevent clotting and promote artery healing are often prescribed to reduce the risk of adverse events.

Regular follow-up appointments and imaging studies are essential to assess the durability of the intervention and monitor for any recurrence of symptoms or complications, ensuring optimal long-term outcomes for patients with bifurcation and trifurcation lesions.