European Bifurcation Club 2014 - EBC 2014 - Bordeaux, France Bifurcation stenting: learning from bench and simulation Further Optimization of Kissing Balloon Inflation: Insight from computer simulations Author: Peter Mortier, MD, FEops / Ghent University, Belgium CONCLUSION Side branch access: A good kissing inflation does not guarantee optimal side branch access - A large variability was observed with each stent design Inflating the side branch balloon first optimizes side branch access Stent strut apposition: Malapposed struts are always present near the side branch ostium Reducing the pressure in the SB balloon does not increase the amount of malapposed stent struts The elliptical deformation in the proximal segment can be reduced by reducing the pressure in the side branch balloon prior to inflating the main branch balloon.