Balloon stent kissing technique versus jailed wire technique in treating coronary bifurcation lesions in the elderly patients:comparison of curative efficacy
10.3969/j.issn.1008-794X.2025.11.014
- VernacularTitle:球囊支架对吻术与拘禁导丝保护术治疗老年冠脉分叉病变疗效对比分析
- Author:
Yanwei WANG
1
;
Yali FENG
;
Litao DU
;
Yutong HU
Author Information
1. 050000 河北石家庄 河北医科大学第一医院心脏外二科
- Keywords:
coronary bifurcation lesion;
balloon stent kissing technique;
jailed wire technique;
curative effect
- From:
Journal of Interventional Radiology
2025;34(11):1241-1245
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the curative efficacy of balloon stent kissing technique and jailed wire technique in treating coronary bifurcation lesions(CBL)in the elderly patients.Methods A total of 104 elderly patients with CBL,who received interventional surgery from January 2023 to December 2023 in the First Hospital of Hebei University and Hebei Provincial Hospital of Traditional Chinese Medicine were enrolled in this study.The patients were divided into balloon stent group(n=51,using balloon stent kissing technique)and jailed wire group(n=53,using jailed wire technique).The postoperative changes in diseased vessels,myocardial and endothelial function injuries were compared between the two groups,and the incidence of postoperative major adverse cardiovascular event(MACE)was calculated.Results Half a year after surgery,in both groups the minimum internal diameters of the arterial main branch and lateral branches were larger than their preoperative values(P＜0.05),and the stenosis ratio of the lesion segment was smaller than the preoperative value(P＜0.05).In balloon stent group,the minimum internal diameter of lateral branches was larger than that in jailed wire group(P＜0.05),and the stenosis ratio of the lesion segment was smaller than that in jailed wire group(P＜0.05).Seven days after surgery,in both groups the levels of serum BNP,hs-cTnI,CK-MB,ET-1 and vWF were lower than their preoperative values,while the level of serum NO was higher than its preoperative value.The changes in the above indicators in balloon stent group were more obvious than in jailed wire group.No statistically significant difference in the incidence of MACE existed between the two groups(x2=1.605,P=0.205).Conclusion In treating elderly patients with CBL,both balloon stent kissing technique and jailed wire technique can improve the stenosis degree of the arterial main branch and lateral branches,but balloon stent kissing technique is superior to jailed wire technique in improving postoperative short-term myocardial function and endothelial function.
