Lee JM, Lee SH, Kim J, et al. - Analyzing 10‐year trends in bifurcation percutaneous coronary intervention (PCI), it was found that significant changes have occurred in patient and lesion characteristics, devices, PCI techniques, and patient prognosis during the past decade of bifurcation PCI.

• Data were obtained from 5,498 patients who had bifurcation PCI from 2004 to 2015.

• During the 10‐year study span, continuous increase in patient and lesion complexity was evident.

• Continuous reduction in the risk of target vessel failure (from 12.3% to 6.9%) or patient‐oriented composite outcome (a composite of all‐cause death, myocardial infarction, and any revascularization) (from 13.6% to 9.3%) was evident from 2004 to 2015.

• Improvement in clinical results post-bifurcation PCI, despite increased patient and lesion complexity, was mainly due to better devices and more widespread use of procedural optimization techniques and appropriate treatment strategies.