open access

Vol 25, No 2 (2018)
Original articles — Interventional cardiology
Published online: 2017-12-01
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Proximal buddy in jail technique: A bail out technique to increase guide support

Tao Tu, Jianjun Tang, Zhenfei Fang, Xinqun Hu, Liang Tang, Yanshu Zhao, Qiming Liu, Shenghua Zhou
DOI: 10.5603/CJ.a2017.0140
·
Pubmed: 29240963
·
Cardiol J 2018;25(2):159-164.

open access

Vol 25, No 2 (2018)
Original articles — Interventional cardiology
Published online: 2017-12-01

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.

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Keywords

“buddy-in-jail” technique, distal stent delivery, hydrophilic-coated guide wire, complex coronary artery lesions

About this article
Title

Proximal buddy in jail technique: A bail out technique to increase guide support

Journal

Cardiology Journal

Issue

Vol 25, No 2 (2018)

Pages

159-164

Published online

2017-12-01

DOI

10.5603/CJ.a2017.0140

Pubmed

29240963

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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