Double kissing inflation outside the stent secures the patency of small side branch without rewiring
| العنوان: | Double kissing inflation outside the stent secures the patency of small side branch without rewiring |
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| المؤلفون: | Jiatian Cao, Yuxiang Dai, Hongbo Yang, Chenguang Li, Junbo Ge, Juying Qian, Hao Lu, Yanan Song, Xueyi Weng, Feng Zhang, Zheyong Huang |
| المصدر: | BMC Cardiovascular Disorders, Vol 21, Iss 1, Pp 1-9 (2021) BMC Cardiovascular Disorders |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, Coronary bifurcation lesion, medicine.medical_specialty, Time Factors, medicine.medical_treatment, Coronary Artery Disease, 030204 cardiovascular system & hematology, Balloon, Percutaneous coronary intervention, 03 medical and health sciences, 0302 clinical medicine, Side branch, Occlusion, Humans, Medicine, Diseases of the circulatory (Cardiovascular) system, 030212 general & internal medicine, Angioplasty, Balloon, Coronary, Vascular Patency, Aged, Retrospective Studies, Kissing balloon inflation, business.industry, Stent, Middle Aged, medicine.disease, Surgery, Cardiac surgery, Stenosis, Side branch protection, Treatment Outcome, Technical Advance, RC666-701, Female, Stents, Cardiology and Cardiovascular Medicine, business, Mace |
| الوصف: | BackgroundThe jailed balloon technique is widely used for coronary bifurcation lesions, but a residual risk of SB occlusion remains, necessitating SB rewiring and further interventions, including balloon inflation or stenting, which may result in failure and SB loss. This study introduced a novel modified technique of small side branch (SB) protection, namely, double kissing inflation outside the stent (DKo) technique, for coronary bifurcations without the need for SB rewiring.MethodsWe performed the DKo technique in consecutive patients in our center from 1/2019 to 12/2019. The procedure was as follows. We inserted a guide wire into both branches followed by proper preparation. The SB balloon was simultaneously inflated with main vessel (MV) stenting. The SB balloon remained in situ until it was kissing inflated with postdilation of the bifurcation core, which is different from traditional strategies. The proximal optimization technique was performed with a short noncompliant balloon strictly not exceeding the bifurcation. Rates of SB loss and in-hospital outcomes were evaluated.ResultsThe technique was successfully performed in all 117 enrolled patients without any rewiring or SB loss. The mean lesion lengths of the MV and SB were 38.3 ± 19.9 mm and 11.7 ± 7.1 mm, respectively. On average, 1.5 ± 0.6 stents were used per patient, while the mean pressure of the SB balloon was 7.4 ± 3.1 atm. DKo achieved excellent procedural success in the proximal and distal MVs: increased minimal lumen diameter (0.64 ± 0.58 mm to 3.05 ± 0.38 mm,p p p p ConclusionsDKo for bifurcation lesions was shown to be acceptable with high procedural success and excellent SB protection. |
| اللغة: | English |
| تدمد: | 1471-2261 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b17c2d28221cccb7087fe3f49e7fa54aTest https://doaj.org/article/21e97312626e46c09dfa2fc08c2d53f8Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b17c2d28221cccb7087fe3f49e7fa54a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712261 |
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