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Feasibility and safety of jailed‐pressure wire technique using durable optical fiber pressure wire for intervention of coronary bifurcation lesions
Author(s) -
Omori Hiroyuki,
Kawase Yoshiaki,
Hara Masahiko,
Tanigaki Toru,
Okamoto Shuuichi,
Hirata Tetsuo,
Kikuchi Jun,
Ota Hideaki,
Sobue Yoshihiro,
Miyake Taiji,
Kawamura Itta,
Okubo Munenori,
Kamiya Hiroki,
Tsuchiya Kunihiko,
Suzuki Takahiko,
Pijls Nico H.J.,
Matsuo Hitoshi
Publication year - 2019
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28106
Subject(s) - medicine , surgery , percutaneous , unstable angina , balloon , cardiology , coronary heart disease
Objectives The objective was to evaluate the safety, feasibility, and accuracy of the jailed‐pressure wire technique using a durable optical fiber‐based pressure wire with high‐pressure dilatation using a non‐compliant balloon after main vessel stenting. Background Fractional flow reserve (FFR) information can help interventionists determine whether they should treat a jailed‐side branch (SB). However, re‐crossing a pressure wire into a jailed‐SB is sometimes technically difficult. Methods Fifty‐one consecutive lesions from 48 patients who underwent the jailed‐pressure wire technique were retrospectively investigated. The primary endpoint was complication rate and secondary endpoints included success rate of FFR measurement, incidence of wire disruption, and final drift rate. The usability of FFR for percutaneous coronary intervention of coronary bifurcation lesion was also evaluated. Results Median age of the patients was 69 years and 80.4% were men. The most frequent underlying disease was stable angina (70.6%) and 68.6% were type B2 lesions. Our main findings were: the procedure was performed successfully in all cases without any complications or wire disruption, FFR could be measured without significant final drift in 95.9% of cases, and FFR measurements helped interventionists determine whether to perform a final kissing balloon dilatation in 49.0% cases. Conclusions The jailed‐pressure wire technique using a durable optical fiber‐based pressure wire with high‐pressure post‐dilatation maneuver was safe, feasible, and accurate.