Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prediction of Cyanotic Congenital Heart Disease Risk in U.S. Births.

Journal of cardiovascular development and disease·2026
Same author

Cerebral embolic protection devices for transcatheter aortic valve replacement: A meta-analysis and trial sequential analysis.

American heart journal·2026
Same author

Contemporary Trends in High-Potency P2Y12 Receptor Inhibitor Use Among Patients With Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention.

Journal of the American Heart Association·2026
Same author

Immediate Coronary Angiography for STEMI and Out-of-Hospital Cardiac Arrest: Hospital Variation in the NCDR Registry.

Journal of the American College of Cardiology·2026
Same author

Characteristics and outcomes of percutaneous coronary intervention among patients initially referred for CABG.

Cardiovascular revascularization medicine : including molecular interventions·2026
Same author

Ventricular Septal Rupture Secondary to Late-Presenting Myocardial Infarction.

Rhode Island medical journal (2013)·2025
Same journal

Successful Management of a Distal Left Main Perforation Using the Jailed-balloon Technique and Covered Stent Fenestration.

Interventional cardiology (London, England)·2026
Same journal

Complete Revascularisation in ST-elevation MI: Do We Really Buy It? Challenging the Current Approach to Bystander Percutaneous Coronary Intervention.

Interventional cardiology (London, England)·2026
Same journal

Acute Performance of the DynamX Bioadaptor in Complex Coronary Lesions: An Optical Coherence Tomography-based Evaluation.

Interventional cardiology (London, England)·2026
Same journal

Optimal Fluoroscopic Angles for Percutaneous Coronary Intervention During Mechanical Cardiopulmonary Resuscitation in Cardiac Arrest Patients.

Interventional cardiology (London, England)·2026
Same journal

Safety and Effectiveness of Hypothermia as Adjunctive Therapy in Percutaneous Coronary Intervention for ST-elevation MI: A Comprehensive Meta-analysis.

Interventional cardiology (London, England)·2026
Same journal

Ultimaster TANSEI Stent in Complex Coronary Lesions: The EPIC08 TANSEI COMPLEX Study.

Interventional cardiology (London, England)·2026
See all related articles

Related Experiment Video

Updated: May 13, 2025

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

4.7K

Predilation in Primary Percutaneous Coronary Intervention.

Mahmoud Tantawy1, Marwan Saad2, Sherif Hussien1

  • 1College of Medicine, Department of Cardiology, Misr University for Science and Technology Cairo, Egypt.

Interventional Cardiology (London, England)
|May 9, 2025
PubMed
Summary
This summary is machine-generated.

Using a smaller balloon for predilation in primary percutaneous coronary intervention (pPCI) improves coronary flow and reduces complications. This approach is linked to better ST-segment resolution post-procedure.

Keywords:
Balloon predilationpercutaneous coronary interventionprimary percutaneous coronary intervention

More Related Videos

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease
06:39

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease

Published on: February 18, 2020

6.7K
Author Spotlight: Innovative Technique for Coronary Angiography in Marginal Donors
06:25

Author Spotlight: Innovative Technique for Coronary Angiography in Marginal Donors

Published on: July 12, 2024

292

Related Experiment Videos

Last Updated: May 13, 2025

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

4.7K
Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease
06:39

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease

Published on: February 18, 2020

6.7K
Author Spotlight: Innovative Technique for Coronary Angiography in Marginal Donors
06:25

Author Spotlight: Innovative Technique for Coronary Angiography in Marginal Donors

Published on: July 12, 2024

292

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Medicine
  • Medical Device Technology

Background:

  • Balloon predilation is a common practice in primary percutaneous coronary intervention (pPCI).
  • Optimal balloon sizing and its impact on procedural and clinical outcomes in pPCI remain under-researched.
  • Limited data exists on the effect of balloon size during predilation on outcomes in STEMI patients.

Purpose of the Study:

  • To compare the outcomes of small balloon predilation (≤50% of proximal vessel diameter) versus large balloon predilation (>50%) in pPCI.
  • To evaluate the effect of balloon size on no-reflow phenomenon, procedural complications, and clinical outcomes.
  • To determine if smaller balloon predilation improves ST-segment resolution in ST-elevation MI (STEMI) patients.

Main Methods:

  • A multicentre prospective observational study involving 384 STEMI patients undergoing pPCI.
  • Patients were divided into two groups: small balloon predilation (n=222) and large balloon predilation (n=162).
  • Data collected included demographics, angiographic details, procedural complications, and clinical outcomes such as no-reflow, LVEF, and ST-segment resolution.

Main Results:

  • The large balloon group showed a significantly higher incidence of no-reflow (14.2% vs. 2.7%, p<0.001) and procedural complications (19.4% vs. 4.5%, p<0.001).
  • Higher contrast volume was used in the large balloon group (190.4 ml vs. 177.4 ml, p=0.0003).
  • ST-segment resolution >50% after PCI was more frequent in the small balloon group (81.98% vs. 67.28%, p<0.001).

Conclusions:

  • Smaller balloon predilation in pPCI is associated with improved coronary blood flow.
  • Using smaller balloons for predilation reduces procedural complications and enhances ST-segment resolution.
  • The findings suggest that optimizing balloon size in pPCI can lead to better procedural and clinical outcomes.