Modified balloon-stent kissing technique avoid side-branch compromise for simple true bifurcation lesions.

BACKGROUND: Coronary bifurcation remains one of the most challenging lesion subsets in interventinal cardiology. Provisional stenting (PS) is the dominate technique for bifurcation lesions, but the key problem is the deterioration of side branch. Balloon-stent kissing technique (BSKT) as a new systematic approach which is based on modified jailed balloon technique is applied to improve the procedure success. In our center, we proposed a modified balloon-stent kissing technique(M-BSKT), which routine usage of proximal optimizing technique (POT) after rewiring was added as an optimization step to BSKT. Thus, whether M-BSKT for addressing simple true coronary bifurcation lesions can provide more benefits in intra-operation effect and long term outcomes is still unknown. METHODS: A cohort of 120 consecutive patients underwent Percutaneous Coronary Intervention (PCI) with simple true coronary bifurcation lesions satisfied the criteria were included in this retrospective, single-center registry. To assemble a cohort with similar baseline characteristics, a 1:1 propensity-matched score was used. The primary outcomes were the rate of device and procedural success, the situation of side branch (SB) after main vessel (MV) inflation and the complications during intra-operative. The secondary outcomes were the clinical prognosis at 12 months such as rehospitalization for unstable angina and MACEs. RESULTS: Before propensity matching, there were no significant differences in primary and secondary outcomes between two groups. After propensity-matched was used, 68 patients with similar propensity scores were included. At immediate procedural, M-BSKT was associated with a lower risk of SB deterioration and the application of final kissing balloon inflation (FKBI)[P = 0.036]. For ACS patients, besides the significant differences of immediate SB deterioration [P = 0.014] and FKBI application [P = 0.033], the incidence of TIMI flow< 3 in the PS was statistically significant higher than M-BSKT [P= 0.042]. The prognosis at 12 months such as rehospitalization for unstable angina and MACEs were similar for two groups [P = 0.613]. CONCLUSION: These observations prove that the M-BSKT enables side branch to be better protected in simple true bifurcation lesions, by a narrow margin. It may improve the angiographic outcomes about side branch deterioration and final kissing balloon performing compared with PS, especially in ACS patients. However, long-term clinical outcomes did not differ between patients treated for M-BSKT and PS at 12 months.

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To explore new practical means of alleviating the negative effect of heat stress on rice plants during the heading-flowering stage, a field experiment was conducted in Ji'an, Yugan, and Nanchang counties of Jiangxi Province from 2017 to 2018 with three indica hybrid rice varieties. Under ambient high temperature condition during the heading-flowering period, we sprayed five concentrations of salicylic acid (SA) (SA1-SA5: 100, 500, 1000, 1500, 2000 µmol·L-1) and five concentrations of KH2PO4 (K1-K5: 7.35, 14.70, 22.05, 29.40, 36.75 mmol·L-1) on the leave of rice, with deionized water as the control (CK), to mesure the physiological characteristics and grain yield. The results showed that compared to CK,plants treated with SA and KH2PO4 had higher chlorophyll content, soluble sugar content, soluble protein content, proline content, supero-xide dismutase activity, and peroxidase activity, but a lower malonaldehyde content, among which SA2 and K3 treatments performed the best. The treatments of SA2, SA3, K3, and K4 increased the number of grains per panicle, seed-setting rate, and grain yield, with the effects of SA2 and K3 treatments being significant. Compared to CK, the SA2 treatments enhanced the number of grains per panicle, seed-setting rate, and grain yield by 7.0%, 4.0%, and 11.9%, respectively; the K3 treatments enhanced the number of grains per panicle, seed-setting rate, and grain yield by 3.9%, 4.7%, and 6.6%, respectively. The optimal measure was spraying 500 µmol·L-1 SA or 22.05 mmol·L-1 KH2PO4, which could significantly increase grain yield of single-season rice under high temperature condition during the heading-flowering period.