Khan Bilal Kabeer, Rahman Muhammad Nasir, Tai Javed Majid, Faheem Osman
Department of Medicine, Aga Khan University Hospital, Stadium Road, Karachi, Pakistan.
AsiaIntervention. 2020 Jul;6(1):15-24. doi: 10.4244/AIJ-D-19-00025. Epub 2020 Jul 20.
Coronary bifurcation lesions are commonly encountered, and side branch compromise is a major complication of these bifurcation interventions. Jailing a wire in the side branch is the most common method of significant side branch protection. Jailing a balloon in the side branch is a less well known and seldom practiced strategy of side branch preservation but tends to have lower occlusion rates as compared to conventional jailed wires. Various modifications have been applied to the original jailed balloon technique to further improve side branch patency. Complications arising from this technique have been limited to case reports only and relate mainly to calcified vessels.
冠状动脉分叉病变很常见,而分支血管受累是这些分叉介入治疗的主要并发症。将导丝置于分支血管内是重要的分支血管保护最常用的方法。将球囊置于分支血管内是一种鲜为人知且很少应用的分支血管保护策略,但与传统的导丝置于分支血管内相比,其闭塞率往往较低。对最初的球囊置于分支血管内技术进行了各种改进,以进一步提高分支血管的通畅率。该技术引起的并发症仅局限于病例报告,主要与钙化血管有关。