title: Static balloon atrial septostomy with buddy wire technique: a case report.
abstract: The buddy wire technique, i.e. the use of a second 0.014" guidewire placed alongside the one employed to advance balloons, stents or other devices, improves the balloon or stent support and also provides guiding catheter stability. Furthermore, it concentrates forces transferred from the balloon along the line of the wire. We used a second 0.014" Platinum PLUS guidewire as a buddy wire during static balloon atrial septostomy in a 19-day-old baby with hypoplastic left heart syndrome, in whom standard balloon atrial septostomy was inadequate even with a fully dilated balloon. This procedure effectively dilated the atrial septal defect.
authors.affiliation: Department of Cardiology, Hokkaido Children's Hospital and Medical Center, Hokkaido. tomitah@med.showa-u.ac.jp
authors.forename: Hideshi
authors.initials: H
authors.lastname: Tomita
authors.forename: Kinya
authors.initials: K
authors.lastname: Hatakeyama
authors.forename: Wataru
authors.initials: W
authors.lastname: Soda
authors.forename: Manabu
authors.initials: M
authors.lastname: Watanabe
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Takagi
mesh_terms: D001024:Aortic Valve Stenosis / Q000628:therapy; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D004374:Ductus Arteriosus, Patent / Q000628:therapy; D006344:Heart Septal Defects, Atrial / Q000628:therapy; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000628:therapy*; D007231:Infant, Newborn; D008297:Male; D008946:Mitral Valve Stenosis / Q000628:therapy; D016896:Treatment Outcome