Evidence map›Paper›PMID 41137832›Full record

ArticleJACC. Case reports2026

Novel Mother-in-Child Technique to Implant Coronary Sinus Reducer in a Challenging Anatomy.

Jean-Benoît Veillette, Juan Hernando Del Portillo-Navarrete, Francesco Giannini, Can Manh Nguyen, Jean-Michel Paradis

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jean-Benoît VeilletteFaculty of Medicine, Université Laval, Quebec City, Quebec, Canada; Department of Cardiology, Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
Juan Hernando Del Portillo-NavarreteDepartment of Cardiology, Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
Francesco GianniniIRCCS Ospedale Galeazzi Sant'Ambrogio, Milan, Italy.
Can Manh NguyenFaculty of Medicine, Université Laval, Quebec City, Quebec, Canada; Department of Cardiology, Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
Jean-Michel ParadisFaculty of Medicine, Université Laval, Quebec City, Quebec, Canada; Department of Cardiology, Quebec Heart and Lung Institute, Quebec City, Quebec, Canada. Electronic address: jean-michel.paradis@criucpq.ulaval.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA 73-year-old woman with a history of complete revascularization for coronary artery disease presented with refractory angina despite multiple antianginal treatments. CASE SUMMARY: Repeated coronary angiography revealed no significant obstructive lesions. Functional invasive coronary assessment confirmed coronary microvascular dysfunction. An A-Flux coronary sinus reducer (VahatiCor) was proposed. Given a very vertically oriented coronary sinus, device deployment was challenging. We then employed a novel mother-in-child technique using a 10 F Oscor Adelante Breezaway 120 degrees catheter (Oscor) to optimize support during A-Flux implantation. DISCUSSION: Coronary sinus reducers may provide a favorable hemodynamic response in patients with microvascular angina. The A-Flux device's design may facilitate navigation in complex anatomies, although inadequate support remains a potential limitation. The mother-in-child technique may help overcome this challenge. TAKE-HOME MESSAGES: Insufficient support during coronary sinus reduction procedures is a major challenge for interventionists. Using the mother-in-child technique with a 10 F Oscor Adelante Breezaway 120 degrees catheter may help address this issue in certain patients.

Indexed as

coronary circulationmyocardial Ischemiapercutaneous coronary intervention

Identifiers

PMID41137832
PMCPMC12833674

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.