Rescue of Severely Twice Kinked Catheter During Transradial Coronary Intervention Using Balloon Technique

2021 ◽  
Author(s):  
Uzeyir RAHİMOV ◽  
Emin KARIMLI ◽  
Gunel MUSAYEVA ◽  
Ziya SALIMOV
Keyword(s):  
Coronary Intervention ◽  
Balloon Technique

Impact of stent deformity induced by the kissing balloon technique for bifurcating lesions on in-stent restenosis after coronary intervention

2018 ◽  
Vol 31 (4) ◽  
pp. 421-429
Author(s):  
Tadatsugu Gamou ◽  
Kenji Sakata ◽  
Hidenobu Terai ◽  
Yuki Horita ◽  
Masatoshi Ikeda ◽  
...  
Keyword(s):  
Coronary Intervention ◽  
Stent Restenosis ◽  
Kissing Balloon Technique ◽  
Balloon Technique ◽  
In Stent Restenosis

scholarly journals Inflation Pressure in Side Branch during Modified Jailed Balloon Technique Does Not Affect Side Branch Outcomes

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Tetsuya Nomura ◽  
Naotoshi Wada ◽  
Issei Ota ◽  
Satoshi Tasaka ◽  
Kenshi Ono ◽  
...  
Keyword(s):  
Univariate Analysis ◽  
Coronary Intervention ◽  
Side Branch ◽  
Plaque Burden ◽  
Lesion Length ◽  
Inflation Pressure ◽  
Balloon Inflation ◽  
Stent Deployment ◽  
Main Vessel ◽  
Balloon Technique

Objectives. This study aimed to investigate the optimal jailed balloon inflation in the side branch during the modified jailed balloon technique for bifurcated lesions. Background. The modified jailed balloon technique is one of the effective techniques to minimize the emergence of side branch (SB) compromise by preventing plaque or carina shifting during a single stent strategy in the main vessel with provisional SB treatment. However, there are no detailed studies on the method of optimal jailed balloon inflation. Methods. We analyzed 51 consecutive patients who underwent percutaneous coronary intervention (PCI) for bifurcated lesions with a modified jailed balloon technique between September 2018 and December 2020. These 51 patients were divided into two groups according to the magnitude of inflation pressure of the jailed balloon: a higher pressure (HP) group and lower pressure (LP) group. Results. No significant differences in procedural outcomes were observed between the two groups. The findings of SB compromise were relatively common with our procedure (30.0% in the HP group; 33.3% in the LP group). The patterns of SB compromise such as dissection or stenosis increase were observed at similar frequencies between them. In particular, SB dissection was noted in the SB lesion with some plaque burden, irrespective of the magnitude of the jailed balloon inflation pressure. Univariate analysis showed that calcification in the main vessel and SB lesion length was significantly associated with SB compromise. Finally, all PCI procedures were successfully completed without any provisional stent deployment in SB. Conclusions. We speculate that lesion characteristics rather than the PCI procedural factors may be critical determinants to cause SB compromise.

Anchor-balloon technique to facilitate stent delivery via the GuideLiner catheter in percutaneous coronary intervention

2018 ◽  
Vol 14 (4) ◽  
pp. 291-299
Author(s):  
Mohamed Ali ◽  
Hatim Yagoub ◽  
Abdalla Ibrahim ◽  
Mohamed Ahmed ◽  
Munir Ibrahim ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Percutaneous Coronary ◽  
Balloon Technique

scholarly journals Long-term treatment effect of a modified jailed-balloon technique for de Winter syndrome: a case report

2020 ◽  
Vol 48 (5) ◽  
pp. 030006052090548
Author(s):  
Ji-Bing Du ◽  
Jia-Jia Wang ◽  
Wen-Yu Li ◽  
Xing-Yu Huo ◽  
Ya-Nan Li ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Intervention ◽  
Reperfusion Therapy ◽  
Term Treatment ◽  
Side Branch ◽  
Anterior Myocardial Infarction ◽  
Diagonal Branch ◽  
St Segment ◽  
Long Term Treatment ◽  
Balloon Technique

Timely recognition of the characteristic electrocardiographic pattern of de Winter syndrome is important for providing immediate reperfusion therapy for acute anterior myocardial infarction. In this case, an electrocardiogram showed 1- to 3-mm upsloping ST-segment depression at the J point in leads V1 to V6, with loss of R wave progression in leads V1 to V4. Urgent angiography showed occlusion of the proximal left anterior descending coronary artery and 70% stenosis in the ostial first diagonal branch (Medina type 1.1.1.). For this bifurcation lesion, we successfully performed a modified jailed-balloon technique to protect the side branch during percutaneous coronary intervention stenting. Thereafter, thrombolysis in myocardial infarction 3 flow was restored in both branches. This modified jailed-balloon technique is safe and effective in stent placement for de Winter syndrome without any loss of side branches.

scholarly journals Safety and Efficacy of a Novel “Hybrid Closure” Technique in Large-Bore Arteriotomies

2017 ◽  
Vol 26 (02) ◽  
pp. 116-120 ◽  
Author(s):  
Michael Amponsah ◽  
Rajiv Tayal ◽  
Zain Khakwani ◽  
Michael Sinclair ◽  
Najam Wasty
Keyword(s):  
Common Femoral Artery ◽  
Coronary Intervention ◽  
Arterial Calcification ◽  
Closure Device ◽  
Manual Compression ◽  
Closure Technique ◽  
Safe Alternative ◽  
Combined Use ◽  
Percutaneous Coronary ◽  
Balloon Technique

AbstractThe “preclose” technique employing two Perclose (P) devices is well established for large-bore artery (LBA) hemostasis. Occasionally, only one Perclose deploys successfully during the initial preclose because of arterial calcification necessitating the use of the crossover balloon technique to achieve hemostasis at the LBA. We sought to determine if the combined use of one Perclose and either one Angioseal or one Mynx vascular closure device (VCD) is a safe alternative closure technique large-bore arteriotomy closure.In total, 40 patients underwent high-risk percutaneous coronary intervention (HRPCI) with Impella support, of whom 38 had common femoral artery (CFA) arteriotomies and 2 underwent percutaneous axillary arteriotomy (AA). Prior to Impella insertion, one Perclose device was predeployed. At the end of HRPCI, Impella was removed and a 0.035″ wire was inserted through the Impella sheath. This sheath was then withdrawn over the wire, and partially deployed Perclose was fully deployed. A 6-Fr sheath was advanced over a 0.035″ wire into the CFA or AA, achieving hemostasis and reducing the LBA to a 6-Fr size. The 6-Fr arteriotomy was closed with a 6-Fr Mynx or Angioseal VCD. Patients were followed at day 1 and day 30.Hybrid closure was successful in 38 of 40 cases. In one case of Mynx balloon rupture, hemostasis was achieved with heparin reversal and manual compression. In the case of Perclose failure, crossover balloon tamponade at arteriotomy site and external manual compression achieved hemostasis. Patients were free of complications at day 1 and day 30.Hybrid closure with one Perclose and either one Mynx or one Angioseal VCD is safe and effective for LBA closure.

P967Combined modified balloons and Saito's modified JBT for calcified coronary birucation lesions

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
J He ◽  
L F Wang ◽  
X C Yang
Keyword(s):  
Coronary Intervention ◽  
Side Branch ◽  
Combination Method ◽  
Percutaneous Coronary ◽  
High Incidence ◽  
Bifurcation Stenting ◽  
Balloon Technique ◽  
Bifurcation Lesions ◽  
Stenting Procedure ◽  
Severe Calcification

Abstract Background Bifurcation lesions are account for relatively high incidence of adverse events, especially in serious calcification and distort lesions during bifurcation stenting. Purpose Based on Saito's modified jailed balloon technique (M-JBT, Shigeru Saito, Modified jailed balloon technique for bifurcation lesions, Catheter Cardiovasc Interv. 2018; 92:E218–E226), fully dilatation with modified balloons was performed on calcification lesion in main branch, to observe if this combination method will facilitate bifurcation lesions stenting procedure. Methods For M-JBT, we followed Saito's technique. Basically, a jailed balloon (JB) is introduced into the side branch (SB), while a stent is placed in the main branch (MB) as crossing SB. The size of the JB is half of the MB stent size. While the proximal end of JB attaching to MB stent, both stent and JB are simultaneously inflated with same pressure. Kissing balloon dilatation (KBD) and/or T and protrusion (TAP) stenting are applied as needed. Modified balloons are performed as severe calcification presented in MB. Results More than 50 patients and 60 bifurcations (both for selective and primary cases) underwent percutaneous coronary intervention (PCI) using this combined technique since November 2018. Procedure success was achieved in all cases. KBD was performed for a few lesions and TAP stenting was employed for 1 lesion. Occlusion of SV was not observed in any of the patients. Illustration cases and prodedure Conclusions Saito's modified jailed balloon technique is safe and effective method in bifurcation stenting. Combined with modified balloons is an effective method when severe calcification presented in bifurcation lesions, especially in distort lesion (main branch or side branch) and poor position visualization situations when rewire is difficult in traditional JBT procedure. Acknowledgement/Funding None

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