The utility of a jailed pressure wire technique for the treatment of coronary bifurcation lesion in a patient with chronic kidney disease

Cardiovasc Interv Ther. 2017 Jul;32(3):269-273. doi: 10.1007/s12928-016-0413-1. Epub 2016 Jul 18.

Abstract

A 56-year-old male was admitted to our hospital complaining of chest pain. The patient had chronic kidney disease requiring a minimum contrast procedure when performing percutaneous coronary intervention. A jailed wire technique is known to reduce the risk of side branch occlusion. We report a case measuring the presence of ischemia in the side branch (SB) by a jailed Opto Wire (Opsens, Quebec) after implantation of a stent in the main vessel for the treatment of a bifurcation lesion. This method provides for a decrease in usage of contrast without leaving the side branch at risk of ischemia.

Keywords: Chronic kidney disease; Coronary bifurcation lesion; FFR; Jailed pressure wire technique.

Publication types

  • Case Reports

MeSH terms

  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Blood Vessel Prosthesis Implantation / methods
  • Coronary Angiography
  • Coronary Disease / complications*
  • Coronary Disease / diagnostic imaging
  • Coronary Disease / therapy
  • Humans
  • Male
  • Middle Aged
  • Myocardial Ischemia / complications*
  • Myocardial Ischemia / diagnostic imaging
  • Myocardial Ischemia / therapy
  • Percutaneous Coronary Intervention / instrumentation
  • Percutaneous Coronary Intervention / methods*
  • Renal Insufficiency, Chronic / complications*
  • Stents