Balloon embedded stenting: A novel technique for percutaneous coronary intervention of bifurcation lesions, experience in Indian population

Vinayakumar, Desabandhu; Bijilesh, Uppalakal; Goyal, Kailash Kumar; Nair, Anishkumar

doi:10.1016/j.ihj.2017.07.010

Cited by 2 publications

(2 citation statements)

References 10 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2. Few cases of special mention include a case with combined balloon embedded culotte stenting 8 for LAD-D 1 lesion and balloon embedded stenting with single stent for LMCA-LAD lesion (Fig. 3), a case where the technique was used for LMCA trifurcation and a patient with post percutaneous transluminal coronary angioplasty(PTCA) who presented with instent restenosis(ISR).…”

Section: Resultsmentioning

confidence: 99%

Balloon embedded bifurcation stenting with single stent for side branch protection – Preliminary results from an Indian population

Vinayakumar

Mohanan

Goyal

2018

Indian Heart Journal

Self Cite

View full text Add to dashboard Cite

BackgroundIntervention for bifurcation lesions is associated with increased risk of adverse events and includes acute side branch (SB) occlusion during main branch (MB) stenting. This acute occlusion of side branch can often be catastrophic for the patient. We here in describe our experience in Indian population with a technique which can be incorporated into bifurcation stenting to reduce or almost eliminate the incidence of side branch occlusion.Method and results70 patients with bifurcation lesion were included in the study and underwent a balloon embedded bifurcation stenting with a semi inflated balloon placed across the SB ostium. Angiographic and procedural success were achieved in all the patients. TIMI 3 flow was achieved in both the MB and SB in all cases and there was no incidence of dissection or acute occlusion of SB. Mean fluoroscopy time and contrast volume was similar to that of conventional bifurcation stenting.ConclusionThe present study suggests that balloon embedded bifurcation stenting with a semi inflated balloon to protect the SB is feasible, not associated with procedural adverse events and successful in minimising or almost eliminating the incidence of acute side branch occlusion.

show abstract

Section: Resultsmentioning

confidence: 99%

Balloon embedded bifurcation stenting with single stent for side branch protection – Preliminary results from an Indian population

Vinayakumar

Mohanan

Goyal

2018

Indian Heart Journal

Self Cite

View full text Add to dashboard Cite

show abstract

“…The treatment of coronary artery bifurcation lesions is a major challenge for interventional cardiology [9]. There exist several interventional techniques for the treatment of this disease, such as the kissing balloon dilatation, crush technique, amongst others [10]. However, the operation process of these techniques remains complex, and the complication rates are usually high.…”

Section: Introductionmentioning

confidence: 99%

A Novel Biodegradable Multilayered Bioengineered Vascular Construct with a Curved Structure and Multi-Branches

et al. 2019

View full text Add to dashboard Cite

Constructing tissue engineered vascular grafts (TEVG) is of great significance for cardiovascular research. However, most of the fabrication techniques are unable to construct TEVG with a bifurcated and curved structure. This paper presents multilayered biodegradable TEVGs with a curved structure and multi-branches. The technique combined 3D printed molds and casting hydrogel and sacrificial material to create vessel-mimicking constructs with customizable structural parameters. Compared with other fabrication methods, the proposed technique can create more native-like 3D geometries. The diameter and wall thickness of the fabricated constructs can be independently controlled, providing a feasible approach for TEVG construction. Enzymatically-crosslinked gelatin was used as the material of the constructs. The mechanical properties and thermostability of the constructs were evaluated. Fluid-structure interaction simulations were conducted to examine the displacement of the construct’s wall when blood flows through it. Human umbilical vein endothelial cells (HUVECs) were seeded on the inner channel of the constructs and cultured for 72 h. The cell morphology was assessed. The results showed that the proposed technique had good application potentials, and will hopefully provide a novel technological approach for constructing integrated vasculature for tissue engineering.

show abstract

Balloon embedded stenting: A novel technique for percutaneous coronary intervention of bifurcation lesions, experience in Indian population

Abstract: The present study suggests that incorporation of balloon embedded stenting into traditional culotte or TAP technique is achievable and can facilitate conversion to bail out crush when required.

Cited by 2 publications

References 10 publications

Balloon embedded bifurcation stenting with single stent for side branch protection – Preliminary results from an Indian population

Balloon embedded bifurcation stenting with single stent for side branch protection – Preliminary results from an Indian population

A Novel Biodegradable Multilayered Bioengineered Vascular Construct with a Curved Structure and Multi-Branches

Contact Info

Product

Resources

About