在保护冠状动脉分叉病变侧支方面,栓塞高压球囊技术优于栓塞钢丝技术。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-12-01 Epub Date: 2024-05-06 DOI:10.1080/14017431.2024.2347295
Jiuchun Qiu, Longyan Li, Weiding Wang, Xinjian Li, Zizhao Zhang, Shuai Shao, Gary Tse, Guangping Li, Tong Liu
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引用次数: 0

摘要

研究目的本研究探讨了使用小直径球囊对侧支(SB)进行高压保护对分叉病变的影响。背景。在不同的冠状动脉支架植入技术中,改良锚定球囊技术已成为分叉病变的可行选择。然而,目前还没有关于主血管(MV)和侧支血管球囊充气压力之间关系的详细研究。方法。在这项研究中,我们收集了 2019 年 3 月至 2022 年 12 月期间接受经皮冠状动脉介入治疗(PCI)治疗分叉病变的患者信息。根据手术方式分为两组:主动栓塞球囊技术(A-JBT)组和栓塞钢丝技术(JWT)组。结果共有 216 例患者入组。A-JBT 组的 SB 狭窄直径更大(1.53 ± 0.69 vs. 0.95 ± 0.52,p p p p 结论。我们提出的这种新型高充气压力和小直径球囊方法具有显著优势。SB 闭塞和 SB 夹层的发生率较低,更具成本效益,能为患者提供更好的临床疗效。今后在治疗分叉病变时应考虑采用这种方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Jailed high-pressure balloon technique is superior to jailed wire technique in protecting side branch of coronary bifurcation lesions.

Objectives. This study investigated the influence of higher pressure protection with a small diameter balloon of side branch (SB) on bifurcation lesions. Background. Of the different coronary stent implantation techniques, the modified jailed balloon technique has become a viable option for bifurcation lesions. However, there was no detailed study on the relationship between the balloon inflation pressure of the main vessel (MV) and SB. Methods. In this study, we collected information of patients who underwent percutaneous coronary intervention (PCI) for bifurcated lesions between March 2019 and December 2022. They were divided into two groups according to the operation way: active jailed balloon technique (A-JBT) group and jailed wire technique (JWT) group. Results. A total of 216 patients were enrolled. The A-JBT group had a larger SB stenosis diameter (1.53 ± 0.69 vs. 0.95 ± 0.52, p < .001), the lower degree of stenosis (44.34 ± 18.30 vs. 63.69 ± 17.34, p < .001) compared to the JWT group. However, the JWT group had a higher incidence of SB occlusion (18.0% vs. 1.9%, p < .001) compared to the A-JBT group. Nevertheless, the success rate for both groups was 100%. Conclusions. This novel high inflation pressure and small diameter balloon approach we propose has significant advantages. There is a lower rate of SB occlusion and SB dissection, which is more cost-effective and provides better clinical outcomes for the patient. This method should be considered in the future for treating bifurcation lesions.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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