Long-term treatment effect and adverse events of a modified jailed-balloon technique for side branch protection in patients with coronary bifurcation lesions
Abstract Background Percutaneous coronary interventions (PCI) of bifurcation lesions is technically challenging and associated with lower success rates and higher frequency of adverse outcomes. In the present study, we aimed to evaluate the immediate and long-term treatment effect and adverse events...
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| Format: | Article |
| Language: | English |
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BMC
2019-01-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12872-018-0995-x |
| _version_ | 1818334503317274624 |
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| author | Wenduo Zhang Fusui Ji Xue Yu Xinyue Wang |
| author_facet | Wenduo Zhang Fusui Ji Xue Yu Xinyue Wang |
| author_sort | Wenduo Zhang |
| collection | DOAJ |
| description | Abstract Background Percutaneous coronary interventions (PCI) of bifurcation lesions is technically challenging and associated with lower success rates and higher frequency of adverse outcomes. In the present study, we aimed to evaluate the immediate and long-term treatment effect and adverse events of a new modified jailed-balloon technique on side branch (SB) during PCI on coronary bifurcation lesions. Methods This was a prospective study of 60 patients (49 males, 11 females, mean age 66 ± 10 years) with coronary bifurcation lesions treated at the Beijing Hospital between September 2014 and October 2015. They underwent main vessel (MV) stenting and modified jailed-balloon technique on the SB. All patients were followed with hospital visits at 9 months. Angiographic success, major adverse cardiac events (MACE), SB occlusion, and angina were evaluated. Results The majority of the patients had acute coronary syndrome (91.7%) and Medina 1.1.1. bifurcation lesions (71.7%). After MV stenting, thrombolysis in myocardial infarction (TIMI) 3 flow was established 100% of MV and 93.3% of SB. No SB occlusion occurred. The jailed SB balloon and wire could be successfully removed in all patients without damage or entrapment. The majority (91.7%) of patients achieved Canadian Cardiovascular Society I stage. There was no MACE during in-hospital stay and 9-month follow-up. Conclusion The modified JBT provided high rate of procedural success, excellent SB protection during MV stenting, and excellent immediate and long-term clinical outcomes. |
| first_indexed | 2024-12-13T14:08:34Z |
| format | Article |
| id | doaj.art-ca080b090c6a4162a8d9775a9038ca95 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-13T14:08:34Z |
| publishDate | 2019-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-ca080b090c6a4162a8d9775a9038ca952022-12-21T23:42:32ZengBMCBMC Cardiovascular Disorders1471-22612019-01-011911710.1186/s12872-018-0995-xLong-term treatment effect and adverse events of a modified jailed-balloon technique for side branch protection in patients with coronary bifurcation lesionsWenduo Zhang0Fusui Ji1Xue Yu2Xinyue Wang3Department of Cardiology, National Center of Gerontology, China, Beijing HospitalDepartment of Cardiology, National Center of Gerontology, China, Beijing HospitalDepartment of Cardiology, National Center of Gerontology, China, Beijing HospitalDepartment of Cardiology, National Center of Gerontology, China, Beijing HospitalAbstract Background Percutaneous coronary interventions (PCI) of bifurcation lesions is technically challenging and associated with lower success rates and higher frequency of adverse outcomes. In the present study, we aimed to evaluate the immediate and long-term treatment effect and adverse events of a new modified jailed-balloon technique on side branch (SB) during PCI on coronary bifurcation lesions. Methods This was a prospective study of 60 patients (49 males, 11 females, mean age 66 ± 10 years) with coronary bifurcation lesions treated at the Beijing Hospital between September 2014 and October 2015. They underwent main vessel (MV) stenting and modified jailed-balloon technique on the SB. All patients were followed with hospital visits at 9 months. Angiographic success, major adverse cardiac events (MACE), SB occlusion, and angina were evaluated. Results The majority of the patients had acute coronary syndrome (91.7%) and Medina 1.1.1. bifurcation lesions (71.7%). After MV stenting, thrombolysis in myocardial infarction (TIMI) 3 flow was established 100% of MV and 93.3% of SB. No SB occlusion occurred. The jailed SB balloon and wire could be successfully removed in all patients without damage or entrapment. The majority (91.7%) of patients achieved Canadian Cardiovascular Society I stage. There was no MACE during in-hospital stay and 9-month follow-up. Conclusion The modified JBT provided high rate of procedural success, excellent SB protection during MV stenting, and excellent immediate and long-term clinical outcomes.http://link.springer.com/article/10.1186/s12872-018-0995-xPercutaneous coronary interventionModified jailed balloon techniqueCoronary bifurcation lesionsLong-term |
| spellingShingle | Wenduo Zhang Fusui Ji Xue Yu Xinyue Wang Long-term treatment effect and adverse events of a modified jailed-balloon technique for side branch protection in patients with coronary bifurcation lesions BMC Cardiovascular Disorders Percutaneous coronary intervention Modified jailed balloon technique Coronary bifurcation lesions Long-term |
| title | Long-term treatment effect and adverse events of a modified jailed-balloon technique for side branch protection in patients with coronary bifurcation lesions |
| title_full | Long-term treatment effect and adverse events of a modified jailed-balloon technique for side branch protection in patients with coronary bifurcation lesions |
| title_fullStr | Long-term treatment effect and adverse events of a modified jailed-balloon technique for side branch protection in patients with coronary bifurcation lesions |
| title_full_unstemmed | Long-term treatment effect and adverse events of a modified jailed-balloon technique for side branch protection in patients with coronary bifurcation lesions |
| title_short | Long-term treatment effect and adverse events of a modified jailed-balloon technique for side branch protection in patients with coronary bifurcation lesions |
| title_sort | long term treatment effect and adverse events of a modified jailed balloon technique for side branch protection in patients with coronary bifurcation lesions |
| topic | Percutaneous coronary intervention Modified jailed balloon technique Coronary bifurcation lesions Long-term |
| url | http://link.springer.com/article/10.1186/s12872-018-0995-x |
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