Background: Despite proven efficacy of drug-eluting stents (DES) within most coronary lesions, bifurcation lesions continue to show high restenosis rate using current DES stenting technique as compared with non-bifurcation lesions. This study was to evaluate clinical and angiographic long-term outcomes of the ���new crush technique��� for treating bifurcation lesions. Methods : We report a new bifurcation technique which provide minimal crushing and excellent DES coverage of the ostium of the side branch, optimal expansion of both stents. We collected 51 consecutive patients (56 bifurcation lesions) to treat bifurcation lesions using sirolimus-eluting stent in both branches from July 2006. Bifurcation lesions were classified according to the Medina classification (type 1,1,1; n=50, type 0,1,1; n=5, type 1,1,0; n=1). The angiographic location was that: left anterior descending/diagonal branch lesion; n=34 (60.7%), left main/left circumflex; n=16 (28.6%), left circumflex/obtuse marginal; n=5 (8.9%), posterior descending artery/posterolateral branch; n=1 (1.8%). Angiographic follow up was obtained in 17 of 51 patients (33.3%) at 7.0 짹 2.2 months. Results : Using this technique procedural success was obtained in 100% of cases. Preprodedure reference vessel diameter and minimal luminal diameter (MLD) were 3.5 짹 0.58 mm and 1.38 짹 0.65 mm for the main branch, respectively and 2.79 짹 0.38 mm and 1.02 짹 0.67 mm for the side branch, respectively. Postprocedure MLD was 3.13 짹 0.39 mm for the main branch and 2.54 짹 0.38 mm for the side branch. There were no in-hospital major adverse cardiac events (MACE). Target lesion revascularization was 6 cases (main branch restenosis; n=1, side branch ostium restenosis; n=4, side branch ostium thrombosis; n=1) and reference vessel diameter and MLD for the main branch were 3.33 짹 0.33 mm and 2.79 짹 0.41 mm respectively, for the side branch 2.78 짹 0.38 mm and 1.85 짹 0.76 mm respectively. Conclusions : The ���new crush technique��� for the bifurcation lesions provides very low MACE rate 9-month follow up. This ���new crush technique��� might be useful for bifurcation lesions using two stents technique.