The authors describe a new approach to percutaneous transluminal coronary angioplasty (PTCA) of bifurcational lesions with a single-guide, "kissing balloon" technique, utilizing two probe dilatation systems, inserted simultaneously into the guiding catheter and across both diseased branches. The versatility of the probe dilatation system in complex angioplasty is portrayed, both for simultaneous or alternate balloon inflations, and the low-profile characteristics of the system are highlighted, which allow a double-probe introduction into a single guiding catheter, good visualization still being retained by guide injections.
Get full access to this article
View all access options for this article.
References
1.
Vetrovec GW, Cowley MJ, Wolfgang TC, et al: Effects of percutaneous transluminal coronary angioplasty on lesion associated branches. Am Heart J109:921-925, 1985.
2.
Meier B., Gruentzig AR, King III SB, et al: Risk of side branch occlusion during coronary angioplasty. Am J Cardiol53:10-14, 1984.
3.
George BS, Myler RK, Stertzer SH, et al: Balloon angioplasty of coronary bifurcational lesions: The kissing balloon technique. Cathet Cardiovasc Diagn12:124-138, 1986.
4.
Meier B.: Kissing balloon coronary angioplasty. Am J Cardiol54:918-920, 1984.
5.
Zack PM, Ischinger T.: Experience with a technique for coronary angioplasty of bifurcational lesions . Cathet Cardiovasc Diagn10:433-443, 1984.
6.
Pinkerton CA , Slack JD, Vantassel JW, et al: Angioplasty for dilatation of complex coronary artery bifurca tion stenoses. Am J Cardiol55:1626-1629, 1985.
7.
Oesterle SN, McCauley BJ, Buchbinder M., et al: Angioplasty of coronary bifurcations: Single guide, two-wire technique. Cath Cardiovasc Diagn 12:57-63. 1986.
8.
Piscione F., Beatt K., deFeyter PJ, et al: Sequential dilatation of septal and left anterior descending artery: Single guiding catheter and double guide wire technique. Cathet Cardiovasc Diagn13:33-38, 1987.
9.
Nath A., Vetrovec GW, Cowley MJ, et al: Double wire angioplasty of the right coronary artery bifurcational stenosis. Cathet Cardiovasc Diagn14:37-40, 1988.
10.
Newton CM, DiSciascio G., Cowley MJ, et al: Double wire technique in coronary angioplasty: Early and late results. Cathet Cardiovasc Diagn13:353, 1987 (abstract).
