Comparison of Jailed Wire and Jailed Balloon for Prevention of Side Branch Occlusion in Provisional Stenting: Evidence from a Systematic Review and Meta-Analysis
Background: Side branch (SB) occlusion after main vessel stenting is the main complication in treating coronary bifurcation lesions by provisional stenting. The Jailed Wire Technique (JWT), recommended by the European Bifurcation Club, is a standard technique to deal with this issue. The Jailed Ball...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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IMR Press
2024-03-01
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| Series: | Reviews in Cardiovascular Medicine |
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| Online Access: | https://www.imrpress.com/journal/RCM/25/3/10.31083/j.rcm2503107 |
| _version_ | 1797238664243183616 |
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| author | Dongdong Li Hao Liu Huimiao Dai Chuncheng Gao Pei Yang Wangang Guo |
| author_facet | Dongdong Li Hao Liu Huimiao Dai Chuncheng Gao Pei Yang Wangang Guo |
| author_sort | Dongdong Li |
| collection | DOAJ |
| description | Background: Side branch (SB) occlusion after main vessel stenting is the main complication in treating coronary bifurcation lesions by provisional stenting. The Jailed Wire Technique (JWT), recommended by the European Bifurcation Club, is a standard technique to deal with this issue. The Jailed Balloon Technique (JBT) has been found to be more effective than the JWT in clinical practice by some interventionists, but it has not been widely accepted. In this meta-analysis, we compared the efficacy and safety of JBT and JWT. Methods: The literature comparing JBT and JWT was systematically reviewed. Stata/MP 17.0 was used to perform a meta-analysis. The primary endpoints were major adverse cardiac events (MACE), cardiac death, myocardial infarction (MI) and target lesion revascularization (TLR). The secondary endpoints were SB occlusion and SB dissection. Aggregated odds ratios and 95% confidence intervals were calculated. A sensitivity analysis was conducted if I2 was >50% or p < 0.01. Results: Thirteen studies involving 1789 patients were enrolled. JBT was found to have a significantly lower incidence of MACE, SB occlusion and dissection. The incidence of cardiac death, MI and TLR were also lower in the JBT group, though the differences were not significant. Conclusions: JBT prevents SB occlusion more effectively and does not increase immediate or long-term complications. JBT, or its modified versions, can be used to treat SBs with a high risk of occlusion. |
| first_indexed | 2024-04-24T17:39:14Z |
| format | Article |
| id | doaj.art-185a4d3ad7ec45bb835269206f2b7d35 |
| institution | Directory Open Access Journal |
| issn | 1530-6550 |
| language | English |
| last_indexed | 2024-04-24T17:39:14Z |
| publishDate | 2024-03-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj.art-185a4d3ad7ec45bb835269206f2b7d352024-03-28T01:50:31ZengIMR PressReviews in Cardiovascular Medicine1530-65502024-03-0125310710.31083/j.rcm2503107S1530-6550(23)00921-3Comparison of Jailed Wire and Jailed Balloon for Prevention of Side Branch Occlusion in Provisional Stenting: Evidence from a Systematic Review and Meta-AnalysisDongdong Li0Hao Liu1Huimiao Dai2Chuncheng Gao3Pei Yang4Wangang Guo5Department of Cardiology, The Second Affiliated Hospital of Air Force Medical University, 710038 Xi’an, Shaanxi, ChinaDepartment of Cardiology, The Second Affiliated Hospital of Air Force Medical University, 710038 Xi’an, Shaanxi, ChinaDepartment of Cardiology, The Second Affiliated Hospital of Air Force Medical University, 710038 Xi’an, Shaanxi, ChinaDepartment of Cardiology, The Second Affiliated Hospital of Air Force Medical University, 710038 Xi’an, Shaanxi, ChinaDepartment of Cardiology, The Second Affiliated Hospital of Air Force Medical University, 710038 Xi’an, Shaanxi, ChinaDepartment of Cardiology, The Second Affiliated Hospital of Air Force Medical University, 710038 Xi’an, Shaanxi, ChinaBackground: Side branch (SB) occlusion after main vessel stenting is the main complication in treating coronary bifurcation lesions by provisional stenting. The Jailed Wire Technique (JWT), recommended by the European Bifurcation Club, is a standard technique to deal with this issue. The Jailed Balloon Technique (JBT) has been found to be more effective than the JWT in clinical practice by some interventionists, but it has not been widely accepted. In this meta-analysis, we compared the efficacy and safety of JBT and JWT. Methods: The literature comparing JBT and JWT was systematically reviewed. Stata/MP 17.0 was used to perform a meta-analysis. The primary endpoints were major adverse cardiac events (MACE), cardiac death, myocardial infarction (MI) and target lesion revascularization (TLR). The secondary endpoints were SB occlusion and SB dissection. Aggregated odds ratios and 95% confidence intervals were calculated. A sensitivity analysis was conducted if I2 was >50% or p < 0.01. Results: Thirteen studies involving 1789 patients were enrolled. JBT was found to have a significantly lower incidence of MACE, SB occlusion and dissection. The incidence of cardiac death, MI and TLR were also lower in the JBT group, though the differences were not significant. Conclusions: JBT prevents SB occlusion more effectively and does not increase immediate or long-term complications. JBT, or its modified versions, can be used to treat SBs with a high risk of occlusion.https://www.imrpress.com/journal/RCM/25/3/10.31083/j.rcm2503107bifurcationjailed balloon techniquejailed wire techniquemeta-analysisprovisional stenting |
| spellingShingle | Dongdong Li Hao Liu Huimiao Dai Chuncheng Gao Pei Yang Wangang Guo Comparison of Jailed Wire and Jailed Balloon for Prevention of Side Branch Occlusion in Provisional Stenting: Evidence from a Systematic Review and Meta-Analysis Reviews in Cardiovascular Medicine bifurcation jailed balloon technique jailed wire technique meta-analysis provisional stenting |
| title | Comparison of Jailed Wire and Jailed Balloon for Prevention of Side Branch Occlusion in Provisional Stenting: Evidence from a Systematic Review and Meta-Analysis |
| title_full | Comparison of Jailed Wire and Jailed Balloon for Prevention of Side Branch Occlusion in Provisional Stenting: Evidence from a Systematic Review and Meta-Analysis |
| title_fullStr | Comparison of Jailed Wire and Jailed Balloon for Prevention of Side Branch Occlusion in Provisional Stenting: Evidence from a Systematic Review and Meta-Analysis |
| title_full_unstemmed | Comparison of Jailed Wire and Jailed Balloon for Prevention of Side Branch Occlusion in Provisional Stenting: Evidence from a Systematic Review and Meta-Analysis |
| title_short | Comparison of Jailed Wire and Jailed Balloon for Prevention of Side Branch Occlusion in Provisional Stenting: Evidence from a Systematic Review and Meta-Analysis |
| title_sort | comparison of jailed wire and jailed balloon for prevention of side branch occlusion in provisional stenting evidence from a systematic review and meta analysis |
| topic | bifurcation jailed balloon technique jailed wire technique meta-analysis provisional stenting |
| url | https://www.imrpress.com/journal/RCM/25/3/10.31083/j.rcm2503107 |
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