Coronary bifurcation stenoses: the kissing balloon Probe technique via a single guiding catheter.
A new technique employing two balloon probes via a single (large-lumen) guiding catheter is described. Examples involving the left anterior descending, diagonal, left main (protected), left circumflex-obtuse marginal, and atrioventricular branches and the right coronary artery-posterior descending and posterolateral branches are described and illustrated. This new technology (balloon probes and large-lumen guiding catheter) permits an effective and simplified alternative to the use of the single-guide/two-wire and double-guide/two-dilatation catheter-wire approaches in selected cases in which significant branch vessels (vis-a-vis myocardial regional blood supply) are at risk.
Myler
R K
RK
United States Catheter and Instrument Company, Inc., Billerica, MA.
McConahay
D R
DR
Stertzer
S H
SH
Johnson
W
W
Cumberland
D C
DC
Boucher
R A
RA
Hidalgo
B
B
D000368:Aged; D000792:Angiography; D000800:Angioplasty, Balloon / Q000295:instrumentation* / Q000379:methods; D003251:Constriction, Pathologic / Q000628:therapy; D003327:Coronary Disease / Q000628:therapy*; D003331:Coronary Vessels; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged