{"title":"Rewiring of the dissected branch along the jailed balloon technique in provisional stenting for true coronary bifurcation lesions","authors":"Shintaro Izumoto , Kazumasa Kurogi , Kohei Moribayashi , Soichi Komaki , Yunosuke Matsuura , Nobuyasu Yamamoto , Toshihiro Tsuruda , Koichi Kaikita","doi":"10.1016/j.crmic.2024.100018","DOIUrl":null,"url":null,"abstract":"<div><p>Percutaneous coronary intervention for true bifurcation lesions is challenging because they have a poor prognosis due to side branch (SB) complications. The modified jailed balloon technique (MJBT) is useful for significant SB protection. However, even with the MJBT, provisional stenting in true bifurcation lesions does not dispel the risk of SB occlusion because re-crossing the guidewire through the stent struts into the SB remains a challenge, particularly when SB dissection occurs after stent implantation. Recently, the rewiring of dissected branches along the jailed balloon (real JAB) technique has been reported as a bailout method for this issue. We present the first series of successful provisional stenting cases in five patients with true bifurcation lesions using the real JAB technique in combination with the MJBT.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000145/pdfft?md5=06d056c246d89aa963ae1c5734fd7e3b&pid=1-s2.0-S2950275624000145-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiovascular Revascularization Medicine: Interesting Cases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950275624000145","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Percutaneous coronary intervention for true bifurcation lesions is challenging because they have a poor prognosis due to side branch (SB) complications. The modified jailed balloon technique (MJBT) is useful for significant SB protection. However, even with the MJBT, provisional stenting in true bifurcation lesions does not dispel the risk of SB occlusion because re-crossing the guidewire through the stent struts into the SB remains a challenge, particularly when SB dissection occurs after stent implantation. Recently, the rewiring of dissected branches along the jailed balloon (real JAB) technique has been reported as a bailout method for this issue. We present the first series of successful provisional stenting cases in five patients with true bifurcation lesions using the real JAB technique in combination with the MJBT.