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Step-by-step description of the culotte technique for coronary bifurcation stenting. The culotte technique is performed for coronary bifurcations when: a. the side branch (SB) is important and needs to be preserved, and b. there is high likelihood of SB occlusion after main vessel (MV) stenting, and c. the angle of the bifurcation is less than 70 degrees. DK crush is another technique that can be used for such bifurcation lesions and is preferred by many due to more supportive clinical data and maintenance of guidewire position in the main vessel throughout the case, in contrast to culotte in which the MV needs to be rewired after SB stenting. The 11 steps of the culotte technique are as follows: 1. Wire both MV and SB 2. Predilate both MV and SB 3. Deliver + deploy first stent in most angulated branch 4. Remove stent balloon 5. POT 6. Rewire non-stented vessel + remove jailed wire 7. Dilate struts into non-stented branch 8. Deliver + deploy 2nd stent 9. POT 10. Rewire initially stented branch + remove jailed wire 11. Kissing balloon inflation