“改良封堵球囊技术”用于分叉病变侧支保护的早期经验。
Early experience with the "modified jailed balloon technique" for side branch protection in bifurcation lesions.
作者信息
Somendra Somyata, Gupta Himanshu, Sharma Yash Paul
机构信息
PGIMER, Chandigarh, India.
出版信息
Indian Heart J. 2025 Mar-Apr;77(2):89-92. doi: 10.1016/j.ihj.2025.02.011. Epub 2025 Feb 26.
OBJECTIVE
M-JBT is a novel approach to the "keep-it-open strategy" for bifurcation lesions where SB anatomy is unsuitable for stenting. We intend to provide insight into a contemporary way through our experience of the M-JBT.
METHODS
A semi-compliant balloon sized appropriately for the SB diameter is inflated simultaneously with the MB stent balloon during stent deployment, followed by POT of the MB stent and then recrossing the SB.
RESULTS
We performed the "M-JBT" in 25 cases of bifurcation lesions between September 2023-24, with absolute procedural success in preventing SB occlusion during MB stenting in all 25 lesions. SB occlusion after MB stent POT was seen in one case.
CONCLUSION
This is the first report of clinical experience with the MJBT from the Indian subcontinent. MJBT proves to be a safe and effective approach to the protection of a clinically important SB during MB stenting across it.
目的
对于边支（SB）解剖结构不适合置入支架的分叉病变，M-JBT是“保持开通策略”的一种新方法。我们打算通过我们在M-JBT方面的经验，深入了解一种现代方法。
方法
在支架置入过程中，将一个尺寸适合SB直径的半顺应性球囊与主支（MB）支架球囊同时充气，随后对MB支架进行后扩张（POT），然后再次穿过SB。
结果
2023年9月至2024年期间，我们对25例分叉病变实施了“M-JBT”，在所有25例病变的MB支架置入过程中，预防SB闭塞的手术绝对成功。在1例病例中观察到MB支架POT后出现SB闭塞。
结论
这是来自印度次大陆关于M-JBT临床经验的首份报告。M-JBT被证明是在MB支架穿过病变时保护具有临床重要性的SB的一种安全有效的方法。
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