Division of Cardiology, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada.
Division of Cardiology, Case Western University, Cleveland, Ohio, USA.
Can J Cardiol. 2014 Nov;30(11):1461.e5-7. doi: 10.1016/j.cjca.2014.06.014. Epub 2014 Jun 28.
Proximal optimization technique and final kissing balloon inflations with noncompliant balloons facilitate success with coronary bifurcation intervention. The use of bioresorbable vascular scaffolds has been postulated to reduce the risk of in-stent restenosis, a particular problem with bifurcation intervention. We present a case of bifurcation intervention in a 49-year-old woman, using for the first time, proximal optimization and kissing balloon inflation within bioresorbable vascular scaffolds, using optical coherence tomography guidance.
近端优化技术和非顺应性球囊的最终“吻球”充气有助于冠状动脉分叉病变介入的成功。生物可吸收血管支架的使用被认为可以降低支架内再狭窄的风险,这是分叉病变介入的一个特殊问题。我们首次提出了在生物可吸收血管支架中使用近端优化和“吻球”充气进行分叉病变介入的病例,该病例采用光学相干断层扫描(OCT)进行指导。