Vascular healing after kissing balloon inflation: Nine-month 3D optical coherence tomography analysis in corelab

Autor: Masahiro Yamawaki, Takayuki Okamura, Ryoji Nagoshi, Tatsuhiro Fujimura, Yoshinobu Murasato, Shiro Ono, Takeshi Serikawa, Yutaka Hikichi, Hiroaki Norita, Fumiaki Nakao, Tomohiro Sakamoto, Toshiro Shinke, Junya Shite
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: International Journal of Cardiology: Heart & Vasculature, Vol 40, Iss , Pp 101034- (2022)
Druh dokumentu: article
ISSN: 2352-9067
DOI: 10.1016/j.ijcha.2022.101034
Popis: Background: The jailing strut configuration with link-free and distal guidewire recrossing (LFD) at the side branch orifice (SBO) reduces incomplete stent apposition (ISA) after kissing balloon technique (KBT) in crossover stenting of coronary bifurcation lesions (CBLs). However, data regarding vascular healing after KBT are lacking. We investigated vascular healing 9 months after crossover stenting followed by KBT with optical coherence tomography (OCT) guidance in a prospective multicenter registry. Methods: Fifty-nine patients with CBLs (LFD, 35 patients; non-LFD, 24 patients) were studied. The jailing configuration of the SB and the wire-recrossing position, incidence of ISA and uncovered struts, and neointima unevenness score (NUS) in the main vessel (MV) after 9 months were determined by off-line 3D-OCT in the core laboratory. Results: The ISA rate was significantly higher at the SB ostium and distal MV after KBT in the non-LFD group, compared to the LFD group. After 9 months, incidence of ISA (18.3 ± 18.2 vs. 6.0 ± 8.7%, p
Databáze: Directory of Open Access Journals