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双支架分叉技术中无法提供最终接吻球囊的后果。

CONSEQUENCES OF THE IMPOSSIBILITY TO PROVIDE A FINAL KISSING BALLOON IN DUAL STENT BIFURCATION TECHNIQUE.

作者信息

Vučković Marin, Šarić Sandra

机构信息

Department of Cardiology, Osijek University Hospital Centre, Osijek, Croatia.

Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.

出版信息

Acta Clin Croat. 2024 Mar;63(Suppl1):43-46. doi: 10.20471/acc.2024.63.s1.8.

DOI:10.20471/acc.2024.63.s1.8
PMID:40599480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12207857/
Abstract

Final kissing balloon is the cornerstone of double stent techniques for bifurcation lesions. It provides restoring of the optimal anatomic and physiological features of coronary artery bifurcations. Skipping this step can lead to catastrophic consequences, and resolving complication can be very challenging despite all available tools and tricks. Some interventional tools can be helpful but can also result in new complications. This is a case report on an unsuccessfull attempt of resolving an acute complication after coronary artery bifurcation stenting with two-stent technique, despite all tricks we had in our pocket at that time. In this report, we will also show problems that can occure when trying to cross stent strat with microcatheter, and use of intracoronary imaging in resolving foreign body location.

摘要

最终亲吻球囊是分叉病变双支架技术的基石。它能恢复冠状动脉分叉处的最佳解剖和生理特征。跳过这一步可能会导致灾难性后果，尽管有各种可用的工具和技巧，解决并发症仍极具挑战性。一些介入工具可能会有帮助，但也可能导致新的并发症。这是一例关于使用双支架技术进行冠状动脉分叉支架置入术后急性并发症处理失败的病例报告，尽管当时我们已穷尽所有技巧。在本报告中，我们还将展示使用微导管穿过支架网时可能出现的问题，以及冠状动脉内成像在确定异物位置方面的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/12207857/3dc3589fdd4d/acc-63_supp1-43-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/12207857/0729b24e848a/acc-63_supp1-43-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/12207857/39953be91bd0/acc-63_supp1-43-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/12207857/3dc3589fdd4d/acc-63_supp1-43-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/12207857/0729b24e848a/acc-63_supp1-43-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/12207857/39953be91bd0/acc-63_supp1-43-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/12207857/3dc3589fdd4d/acc-63_supp1-43-f3.jpg

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本文引用的文献

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Impact of Kissing Balloon in Patients Treated With Ultrathin Stents for Left Main Lesions and Bifurcations: An Analysis From the RAIN-CARDIOGROUP VII Study.左主干病变和分叉病变患者应用超薄支架治疗中 Kissing Balloon 的影响：来自 RAIN-CARDIOGROUP VII 研究的分析。
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Culotte stenting vs. TAP stenting for treatment of de-novo coronary bifurcation lesions with the need for side-branch stenting: the Bifurcations Bad Krozingen (BBK) II angiographic trial.
分叉病变中主支血管与边支血管同时置入支架与边支血管单支架置入的对比研究：Bifurcations Bad Krozingen （BBK） II 血管造影试验。
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Clinical Outcome After DK Crush Versus Culotte Stenting of Distal Left Main Bifurcation Lesions: The 3-Year Follow-Up Results of the DKCRUSH-III Study.DK Crush 与 Culotte 支架术治疗左主干远端分叉病变的临床结果：DKCRUSH-III 研究的 3 年随访结果。
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Procedural Predictors of Angiographic Restenosis After Bifurcation Coronary Stenting (from the Choice of Optimal Strategy for Bifurcation Lesions With Normal Side Branch and Optimal Stenting Strategy for True Bifurcation Lesions Studies).冠状动脉分叉病变支架置入术后血管造影再狭窄的手术预测因素（来自正常分支分叉病变最佳策略选择及真性分叉病变最佳支架置入策略研究）
Am J Cardiol. 2015 Oct 1;116(7):1050-6. doi: 10.1016/j.amjcard.2015.07.009. Epub 2015 Jul 15.
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Long-Term Clinical Outcomes of True and Non-True Bifurcation Lesions According to Medina Classification- Results From the COBIS (COronary BIfurcation Stent) II Registry.根据梅迪纳分类法对真性和非真性分叉病变的长期临床结果——来自COBIS（冠状动脉分叉支架）II注册研究的结果
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