Edorium Journal of

Cardiology

 
  Table of Contents    
Case Report
 
Long inflation to left main coronary artery with kissing balloon inflation by drug-coated balloon and perfusion balloon
Keisuke Nakabayashi1, Hisayuki Okada1, Hideki Saito1, Toshiaki Oka1
1Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka 430-8558, Japan.

Article ID: 100005C03KN2016
doi:10.5348/C03-2016-5-CR-1

Address correspondence to:
Keisuke Nakabayashi
M.D., Department of Cardiology
Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi
Naka-ku, Hamamatsu City, Shizuoka 430-8558
Japan

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]

How to cite this article
Nakabayashi K, Okada H, Saito H, Oka T. Long inflation to left main coronary artery with kissing balloon inflation by drug-coated balloon and perfusion balloon. Edorium J Cardiol 2016;3:1–5.


Abstract
Introduction: The advancement in innovation of devices and techniques has allowed percutaneous coronary intervention to be used in increasingly complex cases. However, in-stent restenosis involving a bifurcation lesion remains a problem in the drug-eluting stent era. Drug-coated balloons that administer drugs to vessel walls are effective in drug-eluting stent in-stent restenosis even at bifurcation lesions. It might be incompatible with proximal lesions because of the ischemia induced by the long inflation required for drug-coated balloon (approximately 30–60 sec).
Case Report: We described a 77-year-old male suffering from frequent in-stent restenosis of the left circumflex ostium that had been treated with a conventional balloon and a scoring balloon that has element to crack vessel wall. We treated this case with the novel approach consisting of long kissing balloon inflation at the left main coronary artery with a drug-coated balloon and perfusion balloon that guarantees the blood flow from left main to left descending artery, thereby preventing overt ischemia. He has been free from symptoms eight months after the procedure.
Conclusion: Perfusion balloon could be a helpful option when we treat the in-stent restenosis of proximal and bifurcated lesion by a drug-coated balloon.

Keywords: Drug-coated balloon, Kissing balloon inflation, Left main trunk, Perfusion balloon


[HTML Full Text]   [PDF Full Text]

Author Contributions
Keisuke Nakabayashi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hisayuki Okada – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Hideki Saito – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Toshiaki Oka – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Keisuke Nakabayashi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



  Home line About the Journal line Aim and Scope line Open Access line Archives
Apply as Editor line Apply as Reviewer line Submit Reviews - Editors line Submit Reviews - Reviewers
Instructions for Authors line Templates to Use line Copyright Form line Author Checklist
Online Submission line Email Submission line Submit Revision line Submit All Forms line Submit Page Proofs
Terms of Service line Privacy policy line Disclaimer line FAQ line Contact: Journal line Contact: Edorium Journals line Site Map
 
  Copyright © 2015. Edorium. All rights reserved.