STEMI patients receiving percutaneous coronary intervention for a culprit lesion with coronary artery bifurcation—efficacy and safety of the jailed semi-inflated balloon
BackgroundWe aimed to evaluate the efficacy and safety of the ‘jailed semi-inflated balloon technique’ (JSIBT) for side branch (SB) protection in STEMI patients with a culprit lesion involving a coronary artery bifurcation while undergoing emergent percutaneous coronary intervention (PCI).MethodsWe...
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| Format: | Article |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1132062/full |
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| author | Tzu-Hsiang Lin Kuan-Ju Chen Kuan-Ju Chen Yu-Cheng Hu Keng-Hao Chang Chih-Hung Lai Chih-Hung Lai Tsun-Jui Liu Tsun-Jui Liu Wen-Lieng Lee Wen-Lieng Lee Chieh-Shou Su Chieh-Shou Su |
| author_facet | Tzu-Hsiang Lin Kuan-Ju Chen Kuan-Ju Chen Yu-Cheng Hu Keng-Hao Chang Chih-Hung Lai Chih-Hung Lai Tsun-Jui Liu Tsun-Jui Liu Wen-Lieng Lee Wen-Lieng Lee Chieh-Shou Su Chieh-Shou Su |
| author_sort | Tzu-Hsiang Lin |
| collection | DOAJ |
| description | BackgroundWe aimed to evaluate the efficacy and safety of the ‘jailed semi-inflated balloon technique’ (JSIBT) for side branch (SB) protection in STEMI patients with a culprit lesion involving a coronary artery bifurcation while undergoing emergent percutaneous coronary intervention (PCI).MethodsWe treated between Jan, 2011 and Jun, 2020, a total of 264 STEMI patients with a culprit lesion that involved a coronary artery bifurcation using primary PCI. In 30 patients, SB was protected by JSIBT (the JSIBT group). In 234 patients, SB was either protected or not protected by a placed wire (the non-JSIBT group).ResultsIn both groups, after PCI procedure, TIMI flows of main vessel (MV) and SB were increased significantly compared with their measurements before the procedure. TIMI flows of post-procedural MV were similar between the two groups. In the JSIBT group, TIMI flows of SB both peri-procedure and post-procedure measurements were significantly greater than the non-JSIBT group. Despite a higher incidence of SB dissection in the JSIBT group, no inter-group difference was found in their total SB complications (like SB dissection, SB occlusion, wire entrapment or balloon rupture/entrapment). While JSIBT was an independent predictor for the SB TIMI 3 flow measured at the end of primary PCI, it was not an independent predictor for SB complications.ConclusionThe use of JSIBT as a method of SB protection during primary PCI not only provided better SB protection, but it also had a similar rate of SB complications compared with those with or without prior application of SB wire. This technique may be an effective method of protecting SB for STEMI patients involving coronary artery bifurcation and underwent emergent PCI. |
| first_indexed | 2024-03-13T02:16:32Z |
| format | Article |
| id | doaj.art-e6f8ec8355f140e5adc05ba49426b19f |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-13T02:16:32Z |
| publishDate | 2023-06-01 |
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| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-e6f8ec8355f140e5adc05ba49426b19f2023-06-30T13:12:09ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-06-011010.3389/fcvm.2023.11320621132062STEMI patients receiving percutaneous coronary intervention for a culprit lesion with coronary artery bifurcation—efficacy and safety of the jailed semi-inflated balloonTzu-Hsiang Lin0Kuan-Ju Chen1Kuan-Ju Chen2Yu-Cheng Hu3Keng-Hao Chang4Chih-Hung Lai5Chih-Hung Lai6Tsun-Jui Liu7Tsun-Jui Liu8Wen-Lieng Lee9Wen-Lieng Lee10Chieh-Shou Su11Chieh-Shou Su12Cardiovascular Center, Taichung Veterans General Hospital, Taichung, TaiwanCardiovascular Center, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Emergency Medicine, Taichung Veterans General Hospital, Taichung, TaiwanCardiovascular Center, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Internal Medicine, Cheng Ching Hospital, Taichung, TaiwanCardiovascular Center, Taichung Veterans General Hospital, Taichung, TaiwanInstitute of Clinical Medicine, Department of Medicine, National Yang-Ming University School of Medicine, Taipei, TaiwanCardiovascular Center, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Medicine, National Yang Ming University School of Medicine, Taipei, TaiwanCardiovascular Center, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Medicine, National Yang Ming University School of Medicine, Taipei, TaiwanCardiovascular Center, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Medicine, National Yang Ming University School of Medicine, Taipei, TaiwanBackgroundWe aimed to evaluate the efficacy and safety of the ‘jailed semi-inflated balloon technique’ (JSIBT) for side branch (SB) protection in STEMI patients with a culprit lesion involving a coronary artery bifurcation while undergoing emergent percutaneous coronary intervention (PCI).MethodsWe treated between Jan, 2011 and Jun, 2020, a total of 264 STEMI patients with a culprit lesion that involved a coronary artery bifurcation using primary PCI. In 30 patients, SB was protected by JSIBT (the JSIBT group). In 234 patients, SB was either protected or not protected by a placed wire (the non-JSIBT group).ResultsIn both groups, after PCI procedure, TIMI flows of main vessel (MV) and SB were increased significantly compared with their measurements before the procedure. TIMI flows of post-procedural MV were similar between the two groups. In the JSIBT group, TIMI flows of SB both peri-procedure and post-procedure measurements were significantly greater than the non-JSIBT group. Despite a higher incidence of SB dissection in the JSIBT group, no inter-group difference was found in their total SB complications (like SB dissection, SB occlusion, wire entrapment or balloon rupture/entrapment). While JSIBT was an independent predictor for the SB TIMI 3 flow measured at the end of primary PCI, it was not an independent predictor for SB complications.ConclusionThe use of JSIBT as a method of SB protection during primary PCI not only provided better SB protection, but it also had a similar rate of SB complications compared with those with or without prior application of SB wire. This technique may be an effective method of protecting SB for STEMI patients involving coronary artery bifurcation and underwent emergent PCI.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1132062/fullST-elevation myocardial infarctionprimary percutaneous coronary interventionside branch protectionjailed semi-inflated balloon techniquecoronary artery bifurcation |
| spellingShingle | Tzu-Hsiang Lin Kuan-Ju Chen Kuan-Ju Chen Yu-Cheng Hu Keng-Hao Chang Chih-Hung Lai Chih-Hung Lai Tsun-Jui Liu Tsun-Jui Liu Wen-Lieng Lee Wen-Lieng Lee Chieh-Shou Su Chieh-Shou Su STEMI patients receiving percutaneous coronary intervention for a culprit lesion with coronary artery bifurcation—efficacy and safety of the jailed semi-inflated balloon Frontiers in Cardiovascular Medicine ST-elevation myocardial infarction primary percutaneous coronary intervention side branch protection jailed semi-inflated balloon technique coronary artery bifurcation |
| title | STEMI patients receiving percutaneous coronary intervention for a culprit lesion with coronary artery bifurcation—efficacy and safety of the jailed semi-inflated balloon |
| title_full | STEMI patients receiving percutaneous coronary intervention for a culprit lesion with coronary artery bifurcation—efficacy and safety of the jailed semi-inflated balloon |
| title_fullStr | STEMI patients receiving percutaneous coronary intervention for a culprit lesion with coronary artery bifurcation—efficacy and safety of the jailed semi-inflated balloon |
| title_full_unstemmed | STEMI patients receiving percutaneous coronary intervention for a culprit lesion with coronary artery bifurcation—efficacy and safety of the jailed semi-inflated balloon |
| title_short | STEMI patients receiving percutaneous coronary intervention for a culprit lesion with coronary artery bifurcation—efficacy and safety of the jailed semi-inflated balloon |
| title_sort | stemi patients receiving percutaneous coronary intervention for a culprit lesion with coronary artery bifurcation efficacy and safety of the jailed semi inflated balloon |
| topic | ST-elevation myocardial infarction primary percutaneous coronary intervention side branch protection jailed semi-inflated balloon technique coronary artery bifurcation |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1132062/full |
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