A 3-year experience of a simple, novel technique for accurate ostial/non-ostial coronary stenting: The buddy balloon anchor stent technique
| Autor: | Y. P. Zhang, Laxman Gyawail, X. M. Lu, Y. M. Song, D. H. Qian, Z. H. Geng, G. C. Chen, D. C. Ni, M. B. Song, Yun He |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Coronary Artery Disease 030204 cardiovascular system & hematology Balloon Cardiac Catheters 03 medical and health sciences 0302 clinical medicine medicine.artery Intravascular ultrasound medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases 030212 general & internal medicine Myocardial infarction Angioplasty Balloon Coronary Aged medicine.diagnostic_test business.industry Coronary Stenosis Stent Percutaneous coronary intervention General Medicine Middle Aged equipment and supplies medicine.disease Treatment Outcome surgical procedures operative medicine.anatomical_structure Right coronary artery Conventional PCI Female Stents Radiology Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Catheterization and Cardiovascular Interventions. 92:1147-1152 |
| ISSN: | 1522-1946 |
| DOI: | 10.1002/ccd.27667 |
| Popis: | Objective To evaluate the safety and efficacy of a new technique for accurate ostial/non-ostial coronary stenting in percutaneous coronary intervention (PCI). Background Accurate stent localization is a key factor impacting the postoperative success of patients undergoing PCI. However, the accurate localization of some lesions, especially ostial lesions, is very difficult to achieve, because they are often complicated by bobbing or to-and-fro movement of the stent during cardiac contractions. Methods We report a novel technique of precise ostial/non-ostial stenting based on the buddy balloon anchor stent (BBAS) technique. Between May 2014 and July 2017, 47 patients with significant ostial/non-ostial coronary stenosis that required accurate stenting were included in this study. Of them, 23 patients were treated using the conventional method and the remaining 24 patients were treated using (BBAS) technique. Evaluation was then performed using intravascular ultrasound (IVUS) in the procedural, or coronary computed tomography angiography (CCTA) in the follow up. Results Using the BBAS technique, the procedural success was achieved in all 24 (100%) cases. IVUS was performed in seven patients (29.17%) and no procedural complications occurred. All six failed cases that occurred among patients with right coronary artery and left anterior descending artery ostial stenosis treated using the conventional method, the lesions were subsequently successfully re-stented using the BBAS technique. After a follow-up of 3-36 months, CCTA was performed in 11 patients (45.83%), all the stents were in the accurate position. There were no major cardiovascular events of death, myocardial infarction, or target lesion revascularization. Conclusion BBAS is a simple, highly successful and safe technique for accurate stenting of difficult ostial/nonostial coronary stenosis lesions. |
| Databáze: | OpenAIRE |
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