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Proximal buddy in jail technique: A bail out technique to increase guide support
Affiliations- The Second Xiangya Hospital, Central South University, NO.139 Renmin Road, 410011 Changsha, China
open access
Abstract
Background: During percutaneous coronary intervention, “buddy-in-jail” technique is often used to facilitate stent delivery in complex coronary artery lesions. However, the safety and efficacy of this technique when used with different jailed wire and applied in different target vessel lesions remain elusive. The aim of this retrospective study was to analyze the effectiveness of “buddy-in-jail” technique in the tortuous and rigid lesions of both the common and neighboring coronary arteries. The effectiveness between hydrophilic-coated and non-hydrophilic-coated guide wire as jailed wires was also compared.
Methods: The “buddy-in-jail” technique was applied in 15 patients after failed balloon or stent delivery into the target vessel lesion from June 2014 to December 2016. The safety and effectiveness of the “buddy-in-jail” technique was compared in the tortuous and rigid lesions of both the common and neighboring coronary arteries and between hydrophilic-coated and non-hydrophilic-coated “jailed” wires.
Results: Stent delivery was successful in 13 (86.7%) patients with the use of “buddy-in-jail” technique. The success rate was similar to the group using the common artery (87.5%) as a “buddy” vessel and the group using a neighboring artery (85.7%) as a “buddy” vessel (p > 0.05), and between hydrophilic- -coated (100%) and non-hydrophilic-coated “jailed” wire (77.8%) group (p > 0.05). All wires were successfully extracted without complications.
Conclusions: The “buddy-in-jail” technique offers a potential alternative approach for the distal stent delivery in both the common and neighboring coronary arteries. Also, both hydrophilic and non-hydrophilic-coated wire could be safely and effectively used as “jailed” wire.
Abstract
Background: During percutaneous coronary intervention, “buddy-in-jail” technique is often used to facilitate stent delivery in complex coronary artery lesions. However, the safety and efficacy of this technique when used with different jailed wire and applied in different target vessel lesions remain elusive. The aim of this retrospective study was to analyze the effectiveness of “buddy-in-jail” technique in the tortuous and rigid lesions of both the common and neighboring coronary arteries. The effectiveness between hydrophilic-coated and non-hydrophilic-coated guide wire as jailed wires was also compared.
Methods: The “buddy-in-jail” technique was applied in 15 patients after failed balloon or stent delivery into the target vessel lesion from June 2014 to December 2016. The safety and effectiveness of the “buddy-in-jail” technique was compared in the tortuous and rigid lesions of both the common and neighboring coronary arteries and between hydrophilic-coated and non-hydrophilic-coated “jailed” wires.
Results: Stent delivery was successful in 13 (86.7%) patients with the use of “buddy-in-jail” technique. The success rate was similar to the group using the common artery (87.5%) as a “buddy” vessel and the group using a neighboring artery (85.7%) as a “buddy” vessel (p > 0.05), and between hydrophilic- -coated (100%) and non-hydrophilic-coated “jailed” wire (77.8%) group (p > 0.05). All wires were successfully extracted without complications.
Conclusions: The “buddy-in-jail” technique offers a potential alternative approach for the distal stent delivery in both the common and neighboring coronary arteries. Also, both hydrophilic and non-hydrophilic-coated wire could be safely and effectively used as “jailed” wire.
Keywords
“buddy-in-jail” technique, distal stent delivery, hydrophilic-coated guide wire, complex coronary artery lesions
About this articleTitle
Proximal buddy in jail technique: A bail out technique to increase guide support
Journal
Issue
Pages
159-164
Published online
2017-12-01
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2993
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2251
DOI
Pubmed
Bibliographic record
Cardiol J 2018;25(2):159-164.
Keywords
“buddy-in-jail” technique
distal stent delivery
hydrophilic-coated guide wire
complex coronary artery lesions
Authors
Tao Tu
Jianjun Tang
Zhenfei Fang
Xinqun Hu
Liang Tang
Yanshu Zhao
Qiming Liu
Shenghua Zhou
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