致边支PCI功败垂成较粗大边支血管闭塞,患者会出现缺血症状,甚至血流动力学不稳定导丝无法再次进入导丝进入夹层---边支闭塞结果不佳进退维谷,锦囊妙计提高导丝操作技巧固然重要即使技艺再高超,也会遇到导丝无法再次进入边支的病例策略比技术更重要球囊保护技术可以简化导丝的操作Jailedballoonprotection:anewtechniquetoavoidacuteside-lusionduringprovisionalstentingofbifurcatedlesions.Benchtestreportandfirstclinicalexperience---EuroIntervention.2010Feb;5(7):809-13:BurzottaF,TraniC,SianosGAIMSProvisionalstentingwithdrug-eluting-stentsisactuallyadoptedtotreatmostofbifurcatedlesions.Amajordrawbackofthistechniqueistheriskofside-branch(SB)closureaftermainvessel(MV)stentingMETHODSANDRESULTSTheuninflatedballoon,whichremainsjailedunderthestentstruts,upationIfSBflowispreservedafterMVstenting,ludedafterMVstenting,plex(55%unprotectedleftmain,85%Medina1,1,1lesions)truebifurcatedlesionsundergoingdrug-eluting-stentimplantation.promiseafterMVstenting
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