The Null technique as a novel, potential first-line method of device delivery for complicated lesions during percutaneous coronary intervention
- Resource Type
- article
- Authors
- Takashi Akima; Yasuo Sakurai; Kazuaki Nakajima; Takashi Koyama
- Source
- International Journal of Cardiology: Heart & Vasculature, Vol 47, Iss , Pp 101241- (2023)
- Subject
- Percutaneous coronary intervention
Device delivery
Contrast medium
Stribeck effect
Calcified stenosis
Other technique
Diseases of the circulatory (Cardiovascular) system
RC666-701
- Language
- English
- ISSN
- 2352-9067
Aim: During percutaneous coronary intervention (PCI), complicated lesions in the target coronary artery often hinder device delivery. Fluid lubricants have commonly been used to reduce friction between adjacent solid materials in manufacturing, thus achieving smoother action. This ex vivo experimental study examined whether a contrast medium could function as a fluid lubricant during PCI. Methods and results: We used two different coronary artery lesion models with distinct complexities made from silicon. Each model was fit into the ex vivo PCI-simulation system. This ex vivo laboratory equipment consisted of ordinary PCI instruments and an aorta model from the Valsalva sinus to the descending aorta. A Wolverine™ cutting balloon catheter was advanced through each lesion model via a guide catheter set into the system. The maximum force required to push the catheter through the lesion models was measured while the vessel system was filled with either normal saline or contrast medium. The maximum force required was significantly lower with the contrast medium (1.38 ± 0.21 N in the normal-saline condition vs. 0.92 ± 0.05 N in the contrast-medium condition in the lesion model A, p