Tu Tao, Tang Jianjun, Fang Zhenfei, Hu Xinqun, Tang Liang, Zhao Yanshu, Liu Qiming, Zhou Shenghua
The Second Xiangya Hospital, Central South University, NO.139 Renmin Road, 410011 Changsha, China.
Cardiol J. 2018;25(2):159-164. doi: 10.5603/CJ.a2017.0140. Epub 2017 Dec 14.
During percutaneous coronary intervention, "buddy-in-jail" technique is often used to facilitate stent delivery in complex coronary artery lesions. However, the safety and efficacy of this tech-nique when used with different jailed wire and applied in different target vessel lesions remain elusive. The aim of this retrospective study was to analyze the effectiveness of "buddy-in-jail" technique in the tortuous and rigid lesions of both the common and neighboring coronary arteries. The effectiveness between hydrophilic-coated and non-hydrophilic-coated guide wire as jailed wires was also compared.
The "buddy-in-jail" technique was applied in 15 patients after failed balloon or stent delivery into the target vessel lesion from June 2014 to December 2016. The safety and effectiveness of the "bud-dy-in-jail" technique was compared in the tortuous and rigid lesions of both the common and neighbor-ing coronary arteries and between hydrophilic-coated and non-hydrophilic-coated "jailed" wires.
Stent delivery was successful in 13 (86.7%) patients with the use of "buddy-in-jail" technique. The success rate was similar to the group using the common artery (87.5%) as a "buddy" vessel and the group using a neighboring artery (85.7%) as a "buddy" vessel (p > 0.05), and between hydrophilic- -coated (100%) and non-hydrophilic-coated "jailed" wire (77.8%) group (p > 0.05). All wires were successfully extracted without complications.
The "buddy-in-jail" technique offers a potential alternative approach for the distal stent delivery in both the common and neighboring coronary arteries. Also, both hydrophilic and non-hydro-philic-coated wire could be safely and effectively used as "jailed" wire.
在经皮冠状动脉介入治疗期间，“狱中伙伴”技术常被用于在复杂冠状动脉病变中辅助支架输送。然而，该技术在使用不同的被拘禁导丝并应用于不同的靶血管病变时的安全性和有效性仍不明确。这项回顾性研究的目的是分析“狱中伙伴”技术在冠状动脉主干及其相邻血管的迂曲和僵硬病变中的有效性。同时还比较了使用亲水涂层导丝和非亲水涂层导丝作为被拘禁导丝时的有效性。
2014年6月至2016年12月期间，15例患者在球囊或支架输送至靶血管病变失败后应用了“狱中伙伴”技术。比较了“狱中伙伴”技术在冠状动脉主干及其相邻血管的迂曲和僵硬病变中的安全性和有效性，以及亲水涂层和非亲水涂层“被拘禁”导丝之间的安全性和有效性。
使用“狱中伙伴”技术后，13例（86.7%）患者的支架输送成功。成功率与以冠状动脉主干（87.5%）作为“伙伴”血管的组以及以相邻血管（85.7%）作为“伙伴”血管的组相似（p>0.05），并且在亲水涂层（100%）和非亲水涂层“被拘禁”导丝组（77.8%）之间也相似（p>0.05）。所有导丝均成功取出，无并发症发生。
“狱中伙伴”技术为冠状动脉主干及其相邻血管的远端支架输送提供了一种潜在的替代方法。此外，亲水涂层和非亲水涂层导丝均可安全有效地用作“被拘禁”导丝。
