[1]张俊奇 周世奇 王锋剑 王仲朝.双对吻拘禁球囊技术在冠状动脉分叉病变中的应用[J].心血管病学进展,2025,(3):284.[doi:10.16806/j.cnki.issn.1004-3934.2025.03.019]
　ZHANG Junqi,ZHOU Shiqi,WANG Fengjian,et al.The Application of the Double Kissing Jailed Balloon Technique in Coronary Bifurcation Lesions[J].Advances in Cardiovascular Diseases,2025,(3):284.[doi:10.16806/j.cnki.issn.1004-3934.2025.03.019]
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双对吻拘禁球囊技术在冠状动脉分叉病变中的应用()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2025年3期
页码:
284
栏目:
论著
出版日期:
2025-03-25

文章信息/Info

Title:
The Application of the Double Kissing Jailed Balloon Technique in Coronary Bifurcation Lesions
作者:
张俊奇 周世奇 王锋剑 王仲朝
(山西省心血管病医院,山西 太原 030000)
Author(s):
ZHANG Junqi; ZHOU Shiqi; WANG Fengjian; WANG Zhongchao
(Shanxi Cardiovascular Hospital,Taiyuan 030000,Shanxi,China)
关键词:
冠状动脉分叉病变; 拘禁球囊技术; 主动球囊保护
Keywords:
Coronary bifurcation lesions;  Jailed balloon technique;  Proactive balloon protection
DOI:
10.16806/j.cnki.issn.1004-3934.2025.03.019
摘要:
目的 介绍一种冠状动脉分支保护技术——双对吻拘禁球囊技术（DK-JBT）在冠状动脉介入中的应用及其优势。方法 纳入山西省心血管病医院2019年1月—2022年6月心内科226例冠状动脉分叉病变患者，其中117例使用DK-JBT，109例使用标准拘禁球囊技术（JBT），分析手术相关指标及随访情况。结果 （1）与标准JBT组相比，DK-JBT组手术操作简单，需穿主支网眼再次处理分支的比例更低（P＜0.05）；（2）与标准JBT组相比，DK-JBT组手术时间更短（P＜0.05）、手术费用更低（P＜0.05）；（3）在靶病变中，左前降支分叉病变所占比例最高，DK-JBT组和标准JBT组分别为109例（93.2%）和104例（95.4%）；（4）DK-JBT组术后即刻血流情况、1年随访期间主要不良心血管事件发生率不劣于标准JBT组。结论 与标准JBT组相比，DK-JBT组可显著降低分叉病变手术难度、缩短手术时间、减少手术费用，同时远期预后不劣于标准JBT组。DK-JBT可作为处理分叉病变的一个新选择。左前降支分叉病变在所有需进一步干预的分叉病变中所占比例最高，且DK-JBT可能更适用于左前降支分叉病变。
Abstract:
Objective To introduce the double kissing jailed balloon technique (DK-JBT) for coronary bifurcation lesion treatment in percutaneous coronary intervention and to evaluate its advantages. Methods Our study included 226 cases of coronary bifurcation lesions from Department of Cardiology at Shanxi Cardiovascular Hospital from January 2019 to June 2022. 117 cases were treated with DK-JBT and 109 cases were treated with standard jailed balloon technique ( JBT). Operational parameters and follow-up outcomes were analyzed. Results (1) Compared with the standard JBT group,the DK-JBT group had simpler operations and a lower proportion of cases requiring rewiring for branch treatment ( P＜0.05). (2) Compared with the standard JBT group,the DK-JBT group had shorter operation times (P＜0.05) and lower costs (P＜0.05). (3) The left anterior descending artery (LAD) was the most common target lesion,with 109 cases (93.2%) in the DK-JBT group and 104 cases (95.4%) in the standard JBT group. (4) Immediate post-operative blood flow and the incidence of 1-year follow-up major adverse cardiovascular events (MACE) in the DK-JBT group were not inferior to those in the standard JBT group. Conclusion Compared to the standard JBT group,DK-JBT group wa s simpler,faster and more cost-effective,and the long-term prognosis was not worse than that of the standard JBT group. DK-JBT can be considered as a new option for the treatment of bifurcation lesions. Among all bifurcation lesions requiring further intervention ,the left anterior descending branch accounted for the highest proportion ,and DK-JBT may be more suitable for the left anterior descending branch

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更新日期/Last Update: 2025-04-29