Application of the "buddy-in-jail" technique during percutaneous coronary intervention:choice of wire and artery
10.3969/j.issn.1004-8812.2018.05.007
- VernacularTitle:"拘禁导丝"技术的临床应用:导丝及血管的选择
- Author:
Jian-Jun TANG
1
;
Zhen-Fei FANG
;
Xin-Qun HU
;
Liang TANG
;
Yan-Shu ZHAO
;
Xian-Qian SHENG
;
Sheng-Hua ZHOU
Author Information
1. 中南大学湘雅二医院心血管内科
- Keywords:
"Buddy-in-jail" technique;
Percutaneous coronary intervention
- From:
Chinese Journal of Interventional Cardiology
2018;26(5):279-282
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of the ' buddy-in-jail ' technique applied to complex coronary artery lesions during percutaneous coronary intervention.Methods A total of 12640 PCI cases from 4 different hospitals admitted between June 2014 to June 2017 were reviewed. Among them, the balloons or stents were unable to be delivered into the lesions in 25 cases. The "buddy-in-jail"technique was applied in 21 of these 25 cases. According to the guidewires used, the 21 cases were divided into the hydrophilic coated guidewire group(n=9) and non-hydrophilic coated guidewire group(n=21). The rates of procedural success and complications were compared between the 2 groups.Results 18 cases(18/21)were successfully treated with the "buddy-in-jail " technique. The success rates were similar between patients using the same artery(9/11) as the "buddy" vessel patients using other arteries(9/10) (P=0.593). Procedural success rates were also similar between patients using hydrophilic-coated guidewires (7/9) and non- hydrophilic coated guidewires(11/12)(P=0.386). All the wires were successfully taken out without complication.Conclusions "Buddy-in-jail" technique offers a potential alternative approach for patients with difflculty in delivering the balloon or stent to the target lesion.
