A Novel‐Modified Provisional Bifurcation Stenting Technique: Jailed Semi‐Inflated Balloon Technique

Çaylı, Murat; Şeker, Taner; Gür, Mustafa; Elbasan, Zafer; Şahin, Durmuş Yıldıray; Elbey, Mehmet Ali; Çil, Habib

doi:10.1111/joic.12225

Cited by 24 publications

(22 citation statements)

References 32 publications

(75 reference statements)

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“…For this reason, the PSS can be preferable to a systematic 2SS for lesions with small and/or non-diseased SB. In a study by Cayli et al [12], the mean SB stenosis was 65% at baseline and 43% post-procedure. In a study of Zhang et al [13], the mean SB stenosis was 68% at baseline, 48% post-procedure, and 63% at 9 months.…”

Section: Discussionmentioning

confidence: 93%

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An Upfront Two-Stent Strategy for True Coronary Bifurcation Lesions with A Large Side Branch in Acute Coronary Syndrome: A Two-Year Follow-Up Study

Yurtdaş¹,

Asoğlu

Özdemir³

et al. 2020

Medicina

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Background and Objectives: Little is known about the upfront two-stent strategy (U2SS) for true coronary bifurcation lesions (CBLs) in acute coronary syndrome (ACS). We aimed to present our two-year follow-up results on the U2SS by using different two-stent techniques for the true CBL with a large side branch (SB) in ACS patients, including unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI), and to identify independent predictors of the presence of major adverse cardiac events (MACEs) after intervention. Materials and Methods: The study included 201 consecutive ACS patients with true CBLs who underwent percutaneous coronary intervention (PCI) using U2SS from October 2015 to March 2018. Clinical outcomes at follow-up were assessed. MACE was defined as a composite of cardiac death, non-fatal myocardial infarction, and target lesion revascularization (TLR). Results: 31.3% of the patients had an UA, 46.3% had an NSTEMI, and 22.4% had an STEMI. CBL was most frequently located in the left anterior descending (LAD)/diagonal artery (59.2%). In total, 71.1% of the patients had a Medina classification (1,1,1). Overall, 62.2% of cases were treated with mini-crush stenting. Clopidogrel was given in 23.9% of the patients; 71.1% of the patients received everolimus eluting stent (EES); and 11.9% received a sirolimus eluting stent (SES). Final kissing balloon inflation was carried out in all patients, with an unsatisfactory rate of 5%. A proximal optimization technique sequence was successfully carried out in all patients. The MACE incidence was 16.9% with a median follow-up period of 2.1 years. There were seven cardiac deaths (3.5%). The TLR rate was 13.4% (n = 27), with PCI treatment in 16 patients, and coronary artery bypass grafting treatment in 11 patients. After multivariate penalized logistic regression analysis (Firth logistic regression), clopidogrel use (odds ratio (OR): 2.19; 95% confidence interval (CI): 0.41–2.51; p = 0.007) and SES use (OR: 1.86; 95% CI: 0.31–2.64; p = 0.014) were independent predictors of the presence of MACE. Conclusion: U2SS is feasible and safe for the true CBLs with large and diseased SB in ACS patients, and is related to a relatively low incidence of MACE. Clopidogrel use and SES use may predict the MACE development in ACS patients treated using U2SS.

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Section: Discussionmentioning

confidence: 93%

“…Most of the studies supporting the PSS have included lesions with trivial or disease-free SB [9][10][11][12][13]. For patients with no to mild ischemia, medical therapy is the treatment of choice and revascularization is associated with increased mortality [14].…”

Section: Discussionmentioning

confidence: 99%

An Upfront Two-Stent Strategy for True Coronary Bifurcation Lesions with A Large Side Branch in Acute Coronary Syndrome: A Two-Year Follow-Up Study

Yurtdaş¹,

Asoğlu

Özdemir³

et al. 2020

Medicina

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“…To overcome difficulties associated with PCI for bifurcation lesions, the jailed balloon technique and jailed Corsair technique have been established [ 3 – 9 ]. The jailed semi-inflated balloon technique provides a high rate of procedural success and preservation of the side branch blood flow after main vessel stenting mainly because it prevents carina or plaque shift [ 5 , 8 ]. However, this technique is associated with potential risks including jailed balloon entrapment, balloon rupture, and dissection of the side branch ostium by balloon inflation even with low pressure.…”

Section: Discussionmentioning

confidence: 99%

A Novel Double Side Branch Protection Technique for a Left Main Trifurcation Lesion: Simultaneous Jailed Balloon and Jailed Corsair Technique

Munakata

Numasawa

Ishikawa

et al. 2018

Case Reports in Cardiology

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Percutaneous coronary intervention for left main trifurcation disease is challenging. Although side branch protection techniques such as the jailed balloon technique and jailed Corsair technique are the established methods for treatment of coronary bifurcation lesions, little is known regarding the application and feasibility of these techniques for left main trifurcation disease. We herein describe a 72-year-old man with angina pectoris who was successfully treated with percutaneous coronary stent implantation for a left main trifurcation lesion. In this case, we performed a novel double side branch protection technique, the simultaneous jailed balloon and jailed Corsair technique, with a single 8 Fr guiding catheter. This is the first case report to highlight the feasibility and efficacy of combined use of the jailed balloon and jailed Corsair techniques during percutaneous coronary intervention for left main trifurcation disease.

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“…It provides a high rate of procedural success and preserved side branch blood flow after main vessel stenting mainly because of the prevention of carina or plaque shift. 7 However, there are little data regarding the configuration of bifurcation lesions after main vessel stenting using this technique. The OFDI can provide clearer and higher resolution images compared with intravascular ultrasound.…”

Section: Discussionmentioning

confidence: 99%

“… 4 , 5 To overcome difficulties associated with PCI for bifurcation lesions, the jailed balloon technique and the jailed semi-inflated balloon technique have been established. 5 – 9 However, little is known regarding the configuration of bifurcation lesions after stent implantation using the jailed semi-inflated balloon technique, especially at the orifice of the side branch. We report a 73-year-old male patient with angina pectoris who was successfully treated with percutaneous coronary stent implantation for a true bifurcation lesion of the right coronary artery (RCA) with an obtuse angle using the jailed semi-inflated balloon technique.…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional optical frequency domain imaging of a true bifurcation lesion after stent implantation using the jailed semi-inflated balloon technique

Numasawa

Hase

Yamazaki

et al. 2017

SAGE Open Medical Case Reports

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Objective:Percutaneous coronary intervention for coronary bifurcation lesion is very challenging, especially for true bifurcation lesions. Although the jailed semi-inflated balloon technique is one of the established methods for treatment of coronary bifurcation lesions, little is known regarding the configuration of the side branch orifice after stent implantation using this technique.Methods:We report a 73-year-old male patient with angina pectoris who was successfully treated with percutaneous coronary stent implantation for a true bifurcation lesion of the right coronary artery with an obtuse angle using the jailed semi-inflated balloon technique.Results:Three-dimensional optical frequency domain imaging clearly showed that there were no signs of plaque or carina shift into the side branch after stent implantation using this technique.Conclusions:This case report highlights that the jailed semi-inflated balloon technique is a safe and useful treatment for coronary true bifurcation lesions with an obtuse angle.

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A Novel‐Modified Provisional Bifurcation Stenting Technique: Jailed Semi‐Inflated Balloon Technique

Abstract: The JSBT technique can be successfully performed in both LM and non-LM bifurcation lesion. This technique provides high rate of procedural success, excellent SB protection during MV stenting and excellent immediate clinical outcome.

Cited by 24 publications

References 32 publications

An Upfront Two-Stent Strategy for True Coronary Bifurcation Lesions with A Large Side Branch in Acute Coronary Syndrome: A Two-Year Follow-Up Study

An Upfront Two-Stent Strategy for True Coronary Bifurcation Lesions with A Large Side Branch in Acute Coronary Syndrome: A Two-Year Follow-Up Study

A Novel Double Side Branch Protection Technique for a Left Main Trifurcation Lesion: Simultaneous Jailed Balloon and Jailed Corsair Technique

Three-dimensional optical frequency domain imaging of a true bifurcation lesion after stent implantation using the jailed semi-inflated balloon technique

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