Early experience with the “modified jailed balloon technique” for side branch protection in bifurcation lesions

Objective: M-JBT is a novel approach to the ''keep-it-open strategy'' for bifurcation lesions where SB anatomy is unsuitable for stenting. We intend to provide insight into a contemporary way through our experience of the M-JBT. Methods: A semi-compliant balloon sized appropriate...

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Main Authors: Somyata Somendra, Himanshu Gupta, Yash Paul Sharma
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Indian Heart Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S001948322500046X
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author Somyata Somendra
Himanshu Gupta
Yash Paul Sharma
author_facet Somyata Somendra
Himanshu Gupta
Yash Paul Sharma
author_sort Somyata Somendra
collection DOAJ
description Objective: M-JBT is a novel approach to the ''keep-it-open strategy'' for bifurcation lesions where SB anatomy is unsuitable for stenting. We intend to provide insight into a contemporary way through our experience of the M-JBT. Methods: A semi-compliant balloon sized appropriately for the SB diameter is inflated simultaneously with the MB stent balloon during stent deployment, followed by POT of the MB stent and then recrossing the SB. Results: We performed the “M-JBT” in 25 cases of bifurcation lesions between September 2023–24, with absolute procedural success in preventing SB occlusion during MB stenting in all 25 lesions. SB occlusion after MB stent POT was seen in one case. Conclusion: This is the first report of clinical experience with the MJBT from the Indian subcontinent. MJBT proves to be a safe and effective approach to the protection of a clinically important SB during MB stenting across it.
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institution Kabale University
issn 0019-4832
language English
publishDate 2025-03-01
publisher Elsevier
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series Indian Heart Journal
spelling doaj-art-bb0f97346e264b64bc7a3e38589a4d9f2025-08-20T03:47:31ZengElsevierIndian Heart Journal0019-48322025-03-01772899210.1016/j.ihj.2025.02.011Early experience with the “modified jailed balloon technique” for side branch protection in bifurcation lesionsSomyata Somendra0Himanshu Gupta1Yash Paul Sharma2PGIMER, Chandigarh, IndiaCorresponding author.; PGIMER, Chandigarh, IndiaPGIMER, Chandigarh, IndiaObjective: M-JBT is a novel approach to the ''keep-it-open strategy'' for bifurcation lesions where SB anatomy is unsuitable for stenting. We intend to provide insight into a contemporary way through our experience of the M-JBT. Methods: A semi-compliant balloon sized appropriately for the SB diameter is inflated simultaneously with the MB stent balloon during stent deployment, followed by POT of the MB stent and then recrossing the SB. Results: We performed the “M-JBT” in 25 cases of bifurcation lesions between September 2023–24, with absolute procedural success in preventing SB occlusion during MB stenting in all 25 lesions. SB occlusion after MB stent POT was seen in one case. Conclusion: This is the first report of clinical experience with the MJBT from the Indian subcontinent. MJBT proves to be a safe and effective approach to the protection of a clinically important SB during MB stenting across it.http://www.sciencedirect.com/science/article/pii/S001948322500046XBifurcation lesionsModified jailed balloonProvisional stentingSide branch
spellingShingle Somyata Somendra
Himanshu Gupta
Yash Paul Sharma
Early experience with the “modified jailed balloon technique” for side branch protection in bifurcation lesions
Indian Heart Journal
Bifurcation lesions
Modified jailed balloon
Provisional stenting
Side branch
title Early experience with the “modified jailed balloon technique” for side branch protection in bifurcation lesions
title_full Early experience with the “modified jailed balloon technique” for side branch protection in bifurcation lesions
title_fullStr Early experience with the “modified jailed balloon technique” for side branch protection in bifurcation lesions
title_full_unstemmed Early experience with the “modified jailed balloon technique” for side branch protection in bifurcation lesions
title_short Early experience with the “modified jailed balloon technique” for side branch protection in bifurcation lesions
title_sort early experience with the modified jailed balloon technique for side branch protection in bifurcation lesions
topic Bifurcation lesions
Modified jailed balloon
Provisional stenting
Side branch
url http://www.sciencedirect.com/science/article/pii/S001948322500046X
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AT yashpaulsharma earlyexperiencewiththemodifiedjailedballoontechniqueforsidebranchprotectioninbifurcationlesions