Perforated balloon technique: A simple and handy technique to combat no-reflow phenomenon in coronary system

Tejas Patel, Sanjay Shah, Rajiv Gulati, Tak Kwan, Mauricio G Cohen, Samir Pancholy

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: Examining the efficacy and outcomes of intracoronary (IC) instillation of adenosine using a novel perforated balloon technique (PBT) to combat no-reflow phenomenon during percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS). Background: Occurrence of no-reflow during PCI is a serious adverse prognostic event and inability to re-establish better flow is associated with poor outcomes. Several pharmacological and non-pharmacological interventions have been used to treat this situation. This series describes the use of PBT for IC adenosine administration and its effects on outcomes during real world interventional practice. Methods: Subjects comprised of 24 patients with ACS (out of a total of 1,634 patients undergoing PCI between January 2016 and June 2017) in whom we used PBT for IC administration of adenosine to treat coronary no-reflow. Results: PBT for IC adenosine instillation was used in 24 (1.5%) of 1,634 patients undergoing PCI. TIMI grade III flow was established in 21 patients (87.5%). In two patients (8.3%) TIMI grade II flow was established and in one patient (4.2%) we were unsuccessful. Conclusion: We demonstrate the safety and efficacy of a novel strategy for adenosine instillation in the distal coronary bed, the PBT. This technique enables rapid and cost-effective treatment of no-reflow phenomenon during PCI for ACS.

Original languageEnglish (US)
JournalCatheterization and Cardiovascular Interventions
DOIs
StateAccepted/In press - Jan 1 2017

Fingerprint

No-Reflow Phenomenon
Percutaneous Coronary Intervention
Adenosine
Acute Coronary Syndrome
Health Care Costs
Pharmacology
Safety

Keywords

  • No-reflow phenomenon
  • Percutaneous coronary intervention
  • Perforated balloon technique

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Perforated balloon technique : A simple and handy technique to combat no-reflow phenomenon in coronary system. / Patel, Tejas; Shah, Sanjay; Gulati, Rajiv; Kwan, Tak; Cohen, Mauricio G; Pancholy, Samir.

In: Catheterization and Cardiovascular Interventions, 01.01.2017.

Research output: Contribution to journalArticle

@article{5b77a29e1a0747da9b061340ed31dae2,
title = "Perforated balloon technique: A simple and handy technique to combat no-reflow phenomenon in coronary system",
abstract = "Objective: Examining the efficacy and outcomes of intracoronary (IC) instillation of adenosine using a novel perforated balloon technique (PBT) to combat no-reflow phenomenon during percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS). Background: Occurrence of no-reflow during PCI is a serious adverse prognostic event and inability to re-establish better flow is associated with poor outcomes. Several pharmacological and non-pharmacological interventions have been used to treat this situation. This series describes the use of PBT for IC adenosine administration and its effects on outcomes during real world interventional practice. Methods: Subjects comprised of 24 patients with ACS (out of a total of 1,634 patients undergoing PCI between January 2016 and June 2017) in whom we used PBT for IC administration of adenosine to treat coronary no-reflow. Results: PBT for IC adenosine instillation was used in 24 (1.5{\%}) of 1,634 patients undergoing PCI. TIMI grade III flow was established in 21 patients (87.5{\%}). In two patients (8.3{\%}) TIMI grade II flow was established and in one patient (4.2{\%}) we were unsuccessful. Conclusion: We demonstrate the safety and efficacy of a novel strategy for adenosine instillation in the distal coronary bed, the PBT. This technique enables rapid and cost-effective treatment of no-reflow phenomenon during PCI for ACS.",
keywords = "No-reflow phenomenon, Percutaneous coronary intervention, Perforated balloon technique",
author = "Tejas Patel and Sanjay Shah and Rajiv Gulati and Tak Kwan and Cohen, {Mauricio G} and Samir Pancholy",
year = "2017",
month = "1",
day = "1",
doi = "10.1002/ccd.27477",
language = "English (US)",
journal = "Catheterization and Cardiovascular Interventions",
issn = "1522-1946",
publisher = "Wiley-Liss Inc.",

}

TY - JOUR

T1 - Perforated balloon technique

T2 - A simple and handy technique to combat no-reflow phenomenon in coronary system

AU - Patel, Tejas

AU - Shah, Sanjay

AU - Gulati, Rajiv

AU - Kwan, Tak

AU - Cohen, Mauricio G

AU - Pancholy, Samir

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Objective: Examining the efficacy and outcomes of intracoronary (IC) instillation of adenosine using a novel perforated balloon technique (PBT) to combat no-reflow phenomenon during percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS). Background: Occurrence of no-reflow during PCI is a serious adverse prognostic event and inability to re-establish better flow is associated with poor outcomes. Several pharmacological and non-pharmacological interventions have been used to treat this situation. This series describes the use of PBT for IC adenosine administration and its effects on outcomes during real world interventional practice. Methods: Subjects comprised of 24 patients with ACS (out of a total of 1,634 patients undergoing PCI between January 2016 and June 2017) in whom we used PBT for IC administration of adenosine to treat coronary no-reflow. Results: PBT for IC adenosine instillation was used in 24 (1.5%) of 1,634 patients undergoing PCI. TIMI grade III flow was established in 21 patients (87.5%). In two patients (8.3%) TIMI grade II flow was established and in one patient (4.2%) we were unsuccessful. Conclusion: We demonstrate the safety and efficacy of a novel strategy for adenosine instillation in the distal coronary bed, the PBT. This technique enables rapid and cost-effective treatment of no-reflow phenomenon during PCI for ACS.

AB - Objective: Examining the efficacy and outcomes of intracoronary (IC) instillation of adenosine using a novel perforated balloon technique (PBT) to combat no-reflow phenomenon during percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS). Background: Occurrence of no-reflow during PCI is a serious adverse prognostic event and inability to re-establish better flow is associated with poor outcomes. Several pharmacological and non-pharmacological interventions have been used to treat this situation. This series describes the use of PBT for IC adenosine administration and its effects on outcomes during real world interventional practice. Methods: Subjects comprised of 24 patients with ACS (out of a total of 1,634 patients undergoing PCI between January 2016 and June 2017) in whom we used PBT for IC administration of adenosine to treat coronary no-reflow. Results: PBT for IC adenosine instillation was used in 24 (1.5%) of 1,634 patients undergoing PCI. TIMI grade III flow was established in 21 patients (87.5%). In two patients (8.3%) TIMI grade II flow was established and in one patient (4.2%) we were unsuccessful. Conclusion: We demonstrate the safety and efficacy of a novel strategy for adenosine instillation in the distal coronary bed, the PBT. This technique enables rapid and cost-effective treatment of no-reflow phenomenon during PCI for ACS.

KW - No-reflow phenomenon

KW - Percutaneous coronary intervention

KW - Perforated balloon technique

UR - http://www.scopus.com/inward/record.url?scp=85039065546&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85039065546&partnerID=8YFLogxK

U2 - 10.1002/ccd.27477

DO - 10.1002/ccd.27477

M3 - Article

C2 - 29280545

AN - SCOPUS:85039065546

JO - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

SN - 1522-1946

ER -