[Coronary angioplasty simultaneous with the "kissing" technique in a bifurcation lesion: use of a guidewire, and 2 monorail systems of rapid interchange].
Coronary branch occlusion complicating percutaneous coronary angioplasty has been recognized in certain bifurcation lesions. The utilization of double angioplasty systems simultaneously has been called "kissing" because the image of contact between balloons, and has been utilized as an alternative to protect the jeopardized branch or prevent snowplow lesion of the principal artery. The technological advance with the use of wide lumen catheters and low profile dilation balloons make the application of this technique possible in those type of lesions using a single guiding catheter. The present paper describes one case treated with this technique using conventional angioplasty systems in a complex bifurcating lesion of the circumflex artery. Some technical considerations about the procedure are made.
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Hospital de Cardiología Luis Méndez Centro Médico Nacional, IMSS, México, D.F.
D000787:Angina Pectoris / Q000628:therapy*; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged
Angioplastía coronaria simultánea con técnica del "beso" en una lesión de bifurcación: uso de un catéter guía, y dos sistemas monorriel de rápido intercambio.