IMR Press / RCM / Volume 25 / Issue 3 / DOI: 10.31083/j.rcm2503107
Open Access Systematic Review
Comparison of Jailed Wire and Jailed Balloon for Prevention of Side Branch Occlusion in Provisional Stenting: Evidence from a Systematic Review and Meta-Analysis
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1 Department of Cardiology, The Second Affiliated Hospital of Air Force Medical University, 710038 Xi’an, Shaanxi, China
*Correspondence: yangpeisyd@163.com (Pei Yang); wg_guo@fmmu.edu.cn (Wangang Guo)
These authors contributed equally.
Rev. Cardiovasc. Med. 2024, 25(3), 107; https://doi.org/10.31083/j.rcm2503107
Submitted: 31 January 2023 | Revised: 17 February 2023 | Accepted: 23 February 2023 | Published: 15 March 2024
Copyright: © 2024 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Side branch (SB) occlusion after main vessel stenting is the main complication in treating coronary bifurcation lesions by provisional stenting. The Jailed Wire Technique (JWT), recommended by the European Bifurcation Club, is a standard technique to deal with this issue. The Jailed Balloon Technique (JBT) has been found to be more effective than the JWT in clinical practice by some interventionists, but it has not been widely accepted. In this meta-analysis, we compared the efficacy and safety of JBT and JWT. Methods: The literature comparing JBT and JWT was systematically reviewed. Stata/MP 17.0 was used to perform a meta-analysis. The primary endpoints were major adverse cardiac events (MACE), cardiac death, myocardial infarction (MI) and target lesion revascularization (TLR). The secondary endpoints were SB occlusion and SB dissection. Aggregated odds ratios and 95% confidence intervals were calculated. A sensitivity analysis was conducted if I2 was >50% or p < 0.01. Results: Thirteen studies involving 1789 patients were enrolled. JBT was found to have a significantly lower incidence of MACE, SB occlusion and dissection. The incidence of cardiac death, MI and TLR were also lower in the JBT group, though the differences were not significant. Conclusions: JBT prevents SB occlusion more effectively and does not increase immediate or long-term complications. JBT, or its modified versions, can be used to treat SBs with a high risk of occlusion.

Keywords
bifurcation
jailed balloon technique
jailed wire technique
meta-analysis
provisional stenting
Funding
2021LCYJ044/Tangdu Innovative Development Project
Figures
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