JOURNAL ARTICLE

First experience with the jailed pressure wire technique in the provisional side branch stenting of coronary bifurcation lesions

Mehmet Bilge, Sina Ali, Recai Alemdar, Ayse Saatci Yasar, Mehmet Erdogan
EuroIntervention 2014, 10 (5): 570-573
25256199

AIMS: The provisional strategy (PS) is an accepted modality of treatment in coronary bifurcation interventions, though, after main vessel (MV) stenting, the assessment of the side branch (SB) becomes more difficult. In bifurcation interventions, the major advantage of fractional flow reserve (FFR) is the avoidance of the need for SB intervention. However, SB access with a pressure wire after MV stenting may be difficult, sometimes impossible. The objective of this paper was to evaluate the feasibility and safety of physiologic assessment of SB lesions using FFR with the jailed pressure wire (JPW) in patients undergoing the PS. Although the JPW technique is theoretically possible in the PS, there is no information available on the use of this technique.

METHODS AND RESULTS: We retrospectively evaluated 11 patients who were treated with the JPW technique at a single centre. Procedures were successfully accomplished in all cases without complications, such as damage of the pressure sensor, failure to measure FFR value, removing the polymer coating, and entrapment or fracture of the JPW.

CONCLUSIONS: In conclusion, our limited experience suggests that the JPW technique in the PS may be a safe and technically feasible approach. This technical report details the JPW technique in patients undergoing the PS.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
25256199
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"