Long-term treatment effect of a modified jailed-balloon technique for de Winter syndrome: a case report
Timely recognition of the characteristic electrocardiographic pattern of de Winter syndrome is important for providing immediate reperfusion therapy for acute anterior myocardial infarction. In this case, an electrocardiogram showed 1- to 3-mm upsloping ST-segment depression at the J point in leads...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-05-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/0300060520905488 |
| _version_ | 1819292111201107968 |
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| author | Ji-Bing Du Jia-Jia Wang Wen-Yu Li Xing-Yu Huo Ya-Nan Li Shu-Tao Chen Hong-Liang Cong Shao-Yuan Wu Yi-Liang Wei |
| author_facet | Ji-Bing Du Jia-Jia Wang Wen-Yu Li Xing-Yu Huo Ya-Nan Li Shu-Tao Chen Hong-Liang Cong Shao-Yuan Wu Yi-Liang Wei |
| author_sort | Ji-Bing Du |
| collection | DOAJ |
| description | Timely recognition of the characteristic electrocardiographic pattern of de Winter syndrome is important for providing immediate reperfusion therapy for acute anterior myocardial infarction. In this case, an electrocardiogram showed 1- to 3-mm upsloping ST-segment depression at the J point in leads V1 to V6, with loss of R wave progression in leads V1 to V4. Urgent angiography showed occlusion of the proximal left anterior descending coronary artery and 70% stenosis in the ostial first diagonal branch (Medina type 1.1.1.). For this bifurcation lesion, we successfully performed a modified jailed-balloon technique to protect the side branch during percutaneous coronary intervention stenting. Thereafter, thrombolysis in myocardial infarction 3 flow was restored in both branches. This modified jailed-balloon technique is safe and effective in stent placement for de Winter syndrome without any loss of side branches. |
| first_indexed | 2024-12-24T03:49:20Z |
| format | Article |
| id | doaj.art-171055fc47924b27b45db2d8dc757eba |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-24T03:49:20Z |
| publishDate | 2020-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-171055fc47924b27b45db2d8dc757eba2022-12-21T17:16:37ZengSAGE PublishingJournal of International Medical Research1473-23002020-05-014810.1177/0300060520905488Long-term treatment effect of a modified jailed-balloon technique for de Winter syndrome: a case reportJi-Bing DuJia-Jia WangWen-Yu LiXing-Yu HuoYa-Nan LiShu-Tao ChenHong-Liang CongShao-Yuan WuYi-Liang WeiTimely recognition of the characteristic electrocardiographic pattern of de Winter syndrome is important for providing immediate reperfusion therapy for acute anterior myocardial infarction. In this case, an electrocardiogram showed 1- to 3-mm upsloping ST-segment depression at the J point in leads V1 to V6, with loss of R wave progression in leads V1 to V4. Urgent angiography showed occlusion of the proximal left anterior descending coronary artery and 70% stenosis in the ostial first diagonal branch (Medina type 1.1.1.). For this bifurcation lesion, we successfully performed a modified jailed-balloon technique to protect the side branch during percutaneous coronary intervention stenting. Thereafter, thrombolysis in myocardial infarction 3 flow was restored in both branches. This modified jailed-balloon technique is safe and effective in stent placement for de Winter syndrome without any loss of side branches.https://doi.org/10.1177/0300060520905488 |
| spellingShingle | Ji-Bing Du Jia-Jia Wang Wen-Yu Li Xing-Yu Huo Ya-Nan Li Shu-Tao Chen Hong-Liang Cong Shao-Yuan Wu Yi-Liang Wei Long-term treatment effect of a modified jailed-balloon technique for de Winter syndrome: a case report Journal of International Medical Research |
| title | Long-term treatment effect of a modified jailed-balloon technique for de Winter syndrome: a case report |
| title_full | Long-term treatment effect of a modified jailed-balloon technique for de Winter syndrome: a case report |
| title_fullStr | Long-term treatment effect of a modified jailed-balloon technique for de Winter syndrome: a case report |
| title_full_unstemmed | Long-term treatment effect of a modified jailed-balloon technique for de Winter syndrome: a case report |
| title_short | Long-term treatment effect of a modified jailed-balloon technique for de Winter syndrome: a case report |
| title_sort | long term treatment effect of a modified jailed balloon technique for de winter syndrome a case report |
| url | https://doi.org/10.1177/0300060520905488 |
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