A Novel Double Side Branch Protection Technique for a Left Main Trifurcation Lesion: Simultaneous Jailed Balloon and Jailed Corsair Technique.

Masahito Munakata,Shiro Ishikawa,Yohei Numasawa,Takashi Koyama

doi:10.1155/2018/6852946

Masahito Munakata, Shiro Ishikawa + Show 2 more

Open Access

https://doi.org/10.1155/2018/6852946

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Abstract

Percutaneous coronary intervention for left main trifurcation disease is challenging. Although side branch protection techniques such as the jailed balloon technique and jailed Corsair technique are the established methods for treatment of coronary bifurcation lesions, little is known regarding the application and feasibility of these techniques for left main trifurcation disease. We herein describe a 72-year-old man with angina pectoris who was successfully treated with percutaneous coronary stent implantation for a left main trifurcation lesion. In this case, we performed a novel double side branch protection technique, the simultaneous jailed balloon and jailed Corsair technique, with a single 8 Fr guiding catheter. This is the first case report to highlight the feasibility and efficacy of combined use of the jailed balloon and jailed Corsair techniques during percutaneous coronary intervention for left main trifurcation disease.

Highlights

Percutaneous coronary intervention (PCI) for left main trifurcation disease remains one of the most technically challenging procedures for interventional cardiologists, even with the currently available drug-eluting stents (DESs)
Even when a protective guide wire is inserted into the side branch prior to main vessel stenting, there remains a risk of side branch occlusion after stent implantation due to plaque or carina shift [2, 3]
These techniques are useful, PCI is more complex for coronary trifurcation than bifurcation lesions [10,11,12,13], and little is known regarding the application and feasibility of these side branch protection techniques for left main trifurcation disease

Summary

Introduction

Percutaneous coronary intervention (PCI) for left main trifurcation disease remains one of the most technically challenging procedures for interventional cardiologists, even with the currently available drug-eluting stents (DESs). Even when a protective guide wire is inserted into the side branch prior to main vessel stenting, there remains a risk of side branch occlusion after stent implantation due to plaque or carina shift [2, 3]. To overcome these difficulties associated with PCI for bifurcation lesions, the jailed balloon technique and jailed Corsair technique have been established [3,4,5,6,7,8,9]. We describe a 72-year-old man with angina pectoris who was successfully treated with percutaneous coronary stent implantation for a left main trifurcation lesion using the simultaneous jailed balloon and jailed Corsair technique

Case Presentation

Discussion

Conclusion