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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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.

TaalEngels
Pagina'sE61-E66
TijdschriftCatheterization and Cardiovascular Interventions
Volume94
Nummer van het tijdschrift2
Vroegere onlinedatum5 feb 2019
DOI's
StatusGepubliceerd - 4 aug 2019

Vingerafdruk

Optical Fibers
Safety
Pressure
Dilatation
Stable Angina
Percutaneous Coronary Intervention
Incidence

Trefwoorden

    Citeer dit

    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, Nr. 2. blz. E61-E66
    @article{b395bc59775447a7b9231f3a21e00041,
    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",
    month = "8",
    day = "4",
    doi = "10.1002/ccd.28106",
    language = "English",
    volume = "94",
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    journal = "Catheterization and Cardiovascular Interventions",
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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, nr. 2, blz. E61-E66. DOI: 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, Nr. 2, 04.08.2019, blz. E61-E66.

    Onderzoeksoutput: Bijdrage aan tijdschriftTijdschriftartikelAcademicpeer review

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    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.

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    KW - degradation

    KW - flame retardance

    KW - foams

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    JF - Catheterization and Cardiovascular Interventions

    SN - 1522-1946

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    ER -