CBS 2019
CBSMD教育中心
中 文

Scientific Library

Abstract

Recommended Article

Feasibility and efficacy of the ultrashort side branch dedicated balloon in coronary bifurcation stenting Comparison of paclitaxel-eluting stents (Taxus) and everolimus-eluting stents (Xience) in left main coronary artery disease with 3 years follow-up (from the ESTROFA-LM registry) Intravascular ultrasound-derived minimal lumen area criteria for functionally significant left main coronary artery stenosis In patients with stable coronary heart disease, low-density lipoprotein-cholesterol levels < 70 mg/dL and glycosylated hemoglobin A1c < 7% are associated with lower major cardiovascular events Assessment of Vascular Dysfunction in Patients Without Obstructive Coronary Artery Disease: Why, How, and When Revascularization in Patients With Left Main Coronary Artery Disease and Left Ventricular Dysfunction Contemporary Use and Trends in Unprotected Left Main Coronary Artery Percutaneous Coronary Intervention in the United States: An Analysis of the National Cardiovascular Data Registry Research to Practice Initiative Percutaneous Coronary Intervention of Left Main Disease: Pre- and Post-EXCEL (Evaluation of XIENCE Everolimus Eluting Stent Versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization) and NOBLE (Nordic-Baltic-British Left Main Revascularization Study) Era

Original Research2020 Jul 14;EIJ-D-20-00334.

JOURNAL:Eurointervention. Article Link

Feasibility and efficacy of the ultrashort side branch dedicated balloon in coronary bifurcation stenting

Y Murasato, M Nishihara, T Mori et al. Keywords: kissing balloon inflation vs. glider balloon; stent configuration; high-angled bifurcation; coronary bifurcation stenting

ABSTRACT

AIMS - We sought to investigate the feasibility and efficacy of the Glider balloon (GB), a side branch (SB) dedicated balloon 4-mm in length, in coronary bifurcation stenting.

METHODS AND RESULTS - In bifurcation bench models, stent configuration was examined with micro-focus computed tomography after crossover stenting followed by GB dilation or kissing balloon inflation (KBI). GB dilation maintained cross-sectional stent area without significant deformation and presented effective jailed strut removal in a high-angled bifurcation model.


We performed GB dilatation after main vessel (MV) stenting for 207 lesions in 194 patients, which included left main, true-bifurcation lesion, and two-stent treatment in 42.0%, 45.9%, and 14.0%, respectively. Proximal optimization technique (POT) or POT-like inflation was performed in 82.1%. GB crossing failure, SB stenting due to dissection, and stent deformation requiring correction by KBI or MV dilation occurred in 8.7, 1.4, and 5.8%, respectively. Finally, simple GB dilation without KBI had been completed in 91.8% for SB dilation. At 1-year follow-up, target lesion revascularization, cardiac death, myocardial infarction, and stent thrombosis were found in 7.2%, 2.1%, 2.1%, and 1.0%, respectively.


CONCLUSION - Simple GB dilation after adequate expansion of proximal MV stent provided acceptable acute and long-term results as an alternative to KBI.