ORIGINAL RESEARCH article
Front. Cardiovasc. Med.
Sec. Coronary Artery Disease
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1563494
Modified Jailed Balloon Technique for True Coronary Bifurcation Lesions: Insights and Experience from a Developing Country
Provisionally accepted
- 1Department of Interventional Cardiology, Cho Ray Hospital, Ho Chi Minh, Vietnam
- 2Department of Internal Medicine, Ho Chi Minh City Medicine and Pharmacy University, Ho Chi Minh City, Southeast Region, Vietnam
- 3Cardiovascular Research, Methodist Hospital, Merrillville, United States, Merrillville, Indiana, United States
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Background: True coronary bifurcation lesions present a high risk of side branch (SB) occlusion during percutaneous coronary intervention (PCI). The modified Jailed Balloon Technique (JBT) offers an effective approach for SB protection.Methods: This study included 32 patients with true bifurcation lesions (Medina 1,1,1; 1,0,1; 0,1,1) treated with the modified JBT. Procedural success, angiographic outcomes, and 90-day follow-up data were evaluated.Results: Procedural and angiographic success rates were 100%, with TIMI 3 flow in 93.8% of SBs.No SB occlusions or major adverse cardiovascular events (MACE) occurred. Two cases of SB dissection were managed conservatively.The modified JBT is a safe, effective, and simple strategy for managing true coronary bifurcation lesions with reasonable devices, useful in clinical practice in developing countries as Viet Nam. Further studies are needed to confirm these results.
Keywords: Modified Jailed Balloon, True Coronary Bifurcation, Developing country, Percutaneous Coronary Intervention, Side branch protection, Cost-Effective Techniques
Received: 20 Jan 2025; Accepted: 28 Apr 2025.
Copyright: © 2025 Nguyen, Le, Ly, Nguyen and Nguyen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Sang Quang Ly, Department of Interventional Cardiology, Cho Ray Hospital, Ho Chi Minh, Vietnam
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