| Comparision of active and conventional jailed balloon techniques in non-left main true coronary bifurcation lesions based on quantitative flow ratio |
| Received:March 05, 2022 Revised:July 27, 2022 Click here to download the full text |
| Citation of this paper:WANG Jing-pu,ZHU Li,LI Chen-guang,YUAN Bin,PAN Cong-cong,DAI Yu-xiang,CHEN Zhang-wei,LU Hao,WU Yi-zhe,CHANG Shu-fu,ZHANG Feng,QIAN Ju-ying,GE Jun-bo.Comparision of active and conventional jailed balloon techniques in non-left main true coronary bifurcation lesions based on quantitative flow ratio[J].Chinese Journal of Clinical Medicine,2022,29(4):521-528 |
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| Author Name | Affiliation | E-mail | | WANG Jing-pu | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | ZHU Li | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | LI Chen-guang | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | YUAN Bin | Sun Simiao Hospital, Beijing University of Traditional Chinese Medicine, Tongchuan 727031, Shaanxi, China | | | PAN Cong-cong | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | DAI Yu-xiang | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | CHEN Zhang-wei | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | LU Hao | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | WU Yi-zhe | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | CHANG Shu-fu | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | ZHANG Feng | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | zhang.feng@zs-hospital.sh.cn | | QIAN Ju-ying | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | GE Jun-bo | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | |
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| Abstract:Objective To evaluate the active jailed balloon technique (A-JBT) and conventional jailed balloon technique (C-JBT) in non-left main true coronary bifurcation lesion (CBL) using quantitative flow ratio (QFR). Methods A total of 255 patients with CBL confirmed by coronary angiography (CAG) were consecutively enrolled from Zhongshan Hospital, Fudan University between May 2019 and May 2020. The clinical characteristics, percutaneous coronary intervention (PCI) related data, immediate events after main vessel stenting as well as QFR of main vessel and side branch were compared between A-JBT group (n=171) and C-JBT group (n=84). Results There were 261 CBLs included and 204 (78.2%) lesions involved left anterior descending coronary artery (LAD), 232 (88.9%) lesions were Medina 1.1.1. The was no significant difference in procedural details involving target lesion characteristics as well as the stenosis degrees of main vessel and side branch between two groups. After main vessel-stenting, the incidence of acute side branch occlusion in A-JBT group was significantly lower than that in C-JBT group (0.6% vs 10.7%, P<0.001). Meanwhile, the patients in A-JBT group obtained significantly higher rate of thrombolysis in myocardial infarction (TIMI) grade 3 (96.0% vs 78.6%, P<0.001), and had higher QFR of side branch (0.90[0.84,0.95] vs 0.83[0.68,0.91], P<0.001) compared with C-JBT group. Conclusion In non-left main true CBL, A-JBT can reduce the incidence of acute occlusion in side branch and improve functional blood supply compared with C-JBT. |
| keywords:coronary bifurcation lesion active jailed balloon technique conventional jailed balloon technique quantitative flow ratio |
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