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

Research output: Contribution to journalArticleAcademicpeer-review

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

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Optical Fibers
Safety
Pressure
Dilatation
Stable Angina
Percutaneous Coronary Intervention
Incidence

Keywords

  • applications
  • degradation
  • flame retardance
  • foams

Cite this

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. / Feasibility and safety of jailed-pressure wire technique using durable optical fiber pressure wire for intervention of coronary bifurcation lesions. In: Catheterization and Cardiovascular Interventions. 2019 ; Vol. 94, No. 2. pp. E61-E66.
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title = "Feasibility and safety of jailed-pressure wire technique using durable optical fiber pressure wire for intervention of coronary bifurcation lesions",
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.",
keywords = "applications, degradation, flame retardance, foams",
author = "Hiroyuki Omori and Yoshiaki Kawase and Masahiko Hara and Toru Tanigaki and Shuuichi Okamoto and Tetsuo Hirata and Jun Kikuchi and Hideaki Ota and Yoshihiro Sobue and Taiji Miyake and Itta Kawamura and Munenori Okubo and Hiroki Kamiya and Kunihiko Tsuchiya and Takahiko Suzuki and Pijls, {Nico H.J.} and Hitoshi Matsuo",
year = "2019",
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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, NHJ & 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, vol. 94, no. 2, pp. E61-E66. https://doi.org/10.1002/ccd.28106

Feasibility and safety of jailed-pressure wire technique using durable optical fiber pressure wire for intervention of coronary bifurcation lesions. / Omori, Hiroyuki (Corresponding author); 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.

In: Catheterization and Cardiovascular Interventions, Vol. 94, No. 2, 04.08.2019, p. E61-E66.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Feasibility and safety of jailed-pressure wire technique using durable optical fiber pressure wire for intervention of coronary bifurcation lesions

AU - Omori, Hiroyuki

AU - Kawase, Yoshiaki

AU - Hara, Masahiko

AU - Tanigaki, Toru

AU - Okamoto, Shuuichi

AU - Hirata, Tetsuo

AU - Kikuchi, Jun

AU - Ota, Hideaki

AU - Sobue, Yoshihiro

AU - Miyake, Taiji

AU - Kawamura, Itta

AU - Okubo, Munenori

AU - Kamiya, Hiroki

AU - Tsuchiya, Kunihiko

AU - Suzuki, Takahiko

AU - Pijls, Nico H.J.

AU - Matsuo, Hitoshi

PY - 2019/8/4

Y1 - 2019/8/4

N2 - 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.

AB - 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.

KW - applications

KW - degradation

KW - flame retardance

KW - foams

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