Retrospective Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. May 26, 2017; 9(5): 442-447
Published online May 26, 2017. doi: 10.4330/wjc.v9.i5.442
Jailing polymer jacketed guide-wires during bifurcation coronary interventions is associated with procedural myocardial infarction
Arka Chatterjee, Jeremy S White, Taimoor Hashim, Massoud A Leesar
Arka Chatterjee, Taimoor Hashim, Massoud A Leesar, Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL 35294, United States
Jeremy S White, Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, United States
Author contributions: Chatterjee A formulated the research question, designed the study, performed statistical analyses and wrote the manuscript; White JS and Hashim T were involved in individual chart reviews to extract data and verify accuracy; Leesar MA supervised the study as senior investigator.
Institutional review board statement: The Institutional Review Board of the University of Alabama at Birmingham approved the study.
Informed consent statement: The institutional Review Board of the University of Alabama at Birmingham waived the need for informed consent since this was a retrospective study using de-identified data only.
Conflict-of-interest statement: None of the authors have any disclosures/conflicts of interest pertaining to this manuscript.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Massoud A Leesar, MD, Division of Cardiovascular Disease, University of Alabama at Birmingham, 1520 3rd Ave S FOT 907, Birmingham, AL 35294, United States. mleesar@uabmc.edu
Telephone: +1-205-9347898 Fax: +1-205-9340973
Received: October 28, 2016
Peer-review started: November 2, 2016
First decision: January 14, 2017
Revised: February 1, 2017
Accepted: March 12, 2017
Article in press: March 13, 2017
Published online: May 26, 2017
Processing time: 203 Days and 22.8 Hours
Core Tip

Core tip: This is a retrospective study aiming to investigate the relationship of jailed polymer jacketed guide wires (PGW) with procedural myocardial infarction (PMI) after a bifurcation coronary intervention. There is concern that this causes polymer shearing and distal micro-embolization. Our data suggests that jailed PGW are strongly associated with PMI, even after adjusting for pertinent risk factors. Thus caution should be exercised in routinely jailing PGW until further definitive data are available.