Yonsei Med J.  2019 Nov;60(11):1108-1111. 10.3349/ymj.2019.60.11.1108.

Consecutive Jailed- and Kissing-Corsair Technique: Side Branch Protection and Dilation during Stent Implantation

• Choi J
• Kim BK
• Hong SJ
• Hong MK
• Jang Y

• KMID: 2460229
• DOI: http://doi.org/10.3349/ymj.2019.60.11.1108

Abstract

The primary concern in percutaneous coronary intervention for bifurcation lesions is occlusion of a side branch after stenting of a main branch, especially in high-risk patients. We describe a novel technique, consecutive jailed- and kissing-Corsair technique, using a Corsair microcatheter for protection of side branches in bifurcation lesions.

Keyword

Percutaneous coronary interventions; bifurcation; stent

MeSH Terms

Humans
Percutaneous Coronary Intervention
Stents*

Figure

• 

  Fig. 1 (A) Pre-procedural angiography. (B) Insertion of the Corsair microcatheter into left circumferential artery (LCx) proper. (C) Jailed-Corsair technique. Stent implantation with the Corsair jailed (arrow). (D) Rewiring to the LCx proper through the stent struts. (E) Recrossing of the Corsair using anchor ballooning. (F) Kissing-Corsair technique. Post-dilation with Corsair at the LCx proper. (G) Final angiography.

• 

  Fig. 2 (A) Pre-procedural angiography [tight stenosis of the ostium of the diagonal branch (arrowhead)]. (B) Insertion of Corsair into the diagonal branch. (C) Jailed-Corsair technique. Stent implantation with the Corsair jailed at the diagonal branch (arrow). (D) Recrossing of the Corsair using balloon anchoring. (E) Kissing-Corsair technique and proximal optimization. Post-dilation with the Corsair at the diagonal branch. (F) Final angiography with preserved side branch (arrowhead).

• 

  Fig. 3 (A) Wiring of the main branch (MB) (blue) and side branch (SB) (green). (B) Advancement of the Corsair to the SB. (C) Jailed-Corsair technique. Stent implantation (inflation with nominal pressure) with the Corsair jailed at the SB. (D) Removal of the jailed Corsair by rotation and rewiring to the SB (red wire). (E) Recrossing of the Corsair to the SB. (F) Kissing-Corsair technique; post-dilation of the MB with Corsair at the SB. (G) Proximal optimization using high-pressure post-dilation. (H) Fully expanded MB stent with widely opened struts at the SB.

Reference

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