Abstract
No-reflow/slow-flow phenomenon (NF) is a poor prognostic factor in patients undergoing percutaneous coronary intervention. Distal protection devices (DPDs) prevent myocardial injury due to microembolic debris. When the target lesion involves a large side branch, DPDs can only protect the main vessel but not the side branch. In the present report, we describe the use of a two-step deflation in kissing-balloon technique for preventing NF in 4 patients (M/F = 4/0, 65 ± 6 years) in which the culprit lesions with NF risk involved a bifurcation. The procedures were uneventful and the 4 patients were discharged ≤24 h without ECG change and elevation of serum level of creatine kinase. The sequential deflation of kissing-balloon technique may constitute a possible solution for the NF related with the side branch on bifurcation lesions.
Original language | English |
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Pages (from-to) | 354-358 |
Number of pages | 5 |
Journal | Cardiovascular Intervention and Therapeutics |
Volume | 29 |
Issue number | 4 |
DOIs | |
Publication status | Published - Oct 24 2014 |
Keywords
- Bifurcation lesion
- Distal protection device
- No-reflow phenomenon
- PCI
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Radiology Nuclear Medicine and imaging
- Medicine(all)