Comparison of floating wire and single wire techniques in right coronary ostial lesions in terms of procedural features and one-year clinical follow-up results

Abstract

Objective:The floating wire technique is a special technique for solving interventional problems in aortaostial lesions. There are no long-term data in the literature for the floating wire technique in right aorto-ostial lesions.Methods:One hundred twenty six patients were retrospectively analyzed in this study. All of these patients had a critical right coronary aortoostial lesion. The floating wire technique was performed on 64 patients, and the single wire technique was performed on 62 patients. The two groups were compared with each other in terms of lesional and procedural properties. Additionally, 1-year clinical follow-up results were compared between the two groups.Results:There was no significant difference in terms of lesion properties between the groups. In the floating wire group, mean stent length, number of stents, mean procedure time, mean contrast volume, and mean fluoroscopy time were significantly lower than in the single wire group. At 1 year, 1 patient from each group had myocardial infarction, and no mortality was observed. In the floating wire group, the number of patients who experienced angina and the target lesion revascularization rate were both significantly lower than in the single wire group.Conclusion:The floating wire technique in right coronary ostial lesions provides a significant advantage over the single wire technique according to procedural and clinical follow-up results.

Early and midterm outcomes of bioresorbable vascular scaffolds for ostial coronary lesions: insights from the GHOST-EU registry

“…The importance of these procedures is now better understood. There was no DES-treated control group, and the heterogeneity in the protocols, cohorts under study, and outcomes of previously published studies complicates any comparison 11,[22][23][24][25][26][27][28][29] . In addition, operator preference at the time of the choice of the device (BVS versus DES) might have introduced a patient/lesion selection bias.…”

“…Predilation was performed in 97% of the lesions (vs. 96% in non-ostial, p=0.618), post-dilation in 43% (versus 58% in the non-ostial group, p=0.008). At quantitative coronary angiography, treatment of ostial lesions was associated with higher residual stenosis (30% [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] vs. 26% [20-37], p=0.035), but no difference in minimum lumen diameter existed (p=0.447). Follow-up data were available at 385 days.…”

Buddy Balloon versus Buddy Wire Technique Regarding Accuracy of Stent Placement during Percutaneous Coronary Intervention

“…[19][20][21] Accurate stent localization and deployment are important in preventing in-stent restenosis and TLR. 10,22,23) In this study, a randomized comparison between BBT and BWT for assisted PCI showed that BBT had an advantage over BWT, was simple to perform, and safe for the accurate placement of stents in either ostial or non-ostial coronary lesions. Previous studies suggested various adjunctive techniques to help reduce the pulsatile motion of stents caused by cardiac contractions prior to deployment; however, these techniques are associated with certain limitations.…”

A Sequential Approach to the Management of Ostial Coronary Lesions via the Modified Flower Petal Technique

“…When long-term outcomes were compared between the floating wire method and the direct single stenting method performed for RCA ostial lesions, the floating wire method was found to be significantly better in operational and clinical follow-up outcomes. 4 In this method, to clearly locate the coronary ostium, nonhydrophilic guidewires were used as the second wire in the aortic root. The buddy balloon anchor stenting method is one method used in all ostial lesions, including aorto-ostial lesions, with good follow-up outcomes.…”