| Modified crush technique with double kissing balloon inflation (sleeve technique): a novel technique for coronary bifurcation lesions. | |
| | |
MedLine Citation:
|
PMID: 16489571 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We report a modified crush technique with double kissing balloon inflation (the sleeve technique) in an attempt to increase the success rate of final kissing balloon inflation, which has been shown to improve the angiographic outcomes of side branch in bifurcation lesions. A stent was advanced across the side branch with protrusion of 3-5 mm of proximal stent segment into the main vessel. At the same time, a size-matched balloon with length long enough to cover the bifurcation as well as the protruding stent segment was placed in the main vessel. The side-branch stent is deployed first, the wire and stent balloon are removed. This is followed by balloon inflation in main vessel at high pressure to crush the protruding stent segment against vessel wall. The side branch is then rewired, two balloons are advanced to the main vessel and side branch, and the bifurcation is kissed with balloons the first time. The side branch is now like a new sleeve. The balloon and wire of the side branch are removed. Another stent was positioned and then deployed in the main vessel. The side branch is rewired the second time, two balloons are advanced to the main vessel and side branch again, followed by final (second) kissing balloon inflation of the bifurcation. The sleeve technique has been employed in six consecutive patients with 100% success rate of final kissing balloon inflation. There was no major adverse cardiac events or stent thrombosis encountered within 30 days of percutaneous coronary intervention. |
| | |
Authors:
|
Man-Hong Jim; Hee-Hwa Ho; Raymond Miu; Wing-Hing Chow |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 67 ISSN: 1522-1946 ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2006 Mar |
Date Detail:
|
Created Date: 2006-03-02 Completed Date: 2006-08-31 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
|
Languages: eng Pagination: 403-9 Citation Subset: IM |
Copyright Information:
|
Copyright (c) 2006 Wiley-Liss, Inc. |
Affiliation:
|
Cardiac Medical Unit, Grantham Hospital, Hong Kong, China. jimmanh2002@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Angioplasty, Balloon / methods* Blood Vessel Prosthesis Implantation / methods* Coronary Angiography Coronary Disease / radiography, therapy* Humans Male Stents* |
| Comments/Corrections | |
Comment In:
|
Catheter Cardiovasc Interv. 2006 Mar;67(3):410-1
[PMID:
16489574
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Outcomes of contrast-induced nephropathy: experience in patients undergoing cardiovascular intervent...
Next Document: Genotoxic and aneugenic properties of an imidazole derivative.