Feasibility and safety of jailed-pressure wire technique using durable optical fiber pressure wire for intervention of coronary bifurcation lesions

Hiroyuki Omori (Corresponding author), Yoshiaki Kawase, Masahiko Hara, Toru Tanigaki, Shuuichi Okamoto, Tetsuo Hirata, Jun Kikuchi, Hideaki Ota, Yoshihiro Sobue, Taiji Miyake, Itta Kawamura, Munenori Okubo, Hiroki Kamiya, Kunihiko Tsuchiya, Takahiko Suzuki, Nico H.J. Pijls, Hitoshi Matsuo

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Abstract

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.

Original languageEnglish
Pages (from-to)E61-E66
JournalCatheterization and Cardiovascular Interventions
Volume94
Issue number2
Early online date5 Feb 2019
DOIs
Publication statusPublished - 4 Aug 2019

Keywords

  • applications
  • degradation
  • flame retardance
  • foams

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    Omori, H., Kawase, Y., Hara, M., Tanigaki, T., Okamoto, S., Hirata, T., Kikuchi, J., Ota, H., Sobue, Y., Miyake, T., Kawamura, I., Okubo, M., Kamiya, H., Tsuchiya, K., Suzuki, T., Pijls, N. H. J., & Matsuo, H. (2019). Feasibility and safety of jailed-pressure wire technique using durable optical fiber pressure wire for intervention of coronary bifurcation lesions. Catheterization and Cardiovascular Interventions, 94(2), E61-E66. https://doi.org/10.1002/ccd.28106