Two "buddies" may be better than one: use of two buddy wires to expand an underexpanded left main coronary stent.
Stent underexpansion is a catastrophic complication of stent implantation that can usually be treated with high-pressure balloon dilatation. We report a case of emergency, unprotected distal left main coronary artery stenting, in which the left main stent remained under-expanded in spite of multiple high-pressure balloon inflations, cutting balloon angioplasty, and angioplasty using one buddy wire. The stent eventually expanded after balloon angioplasty using a double buddy wire technique.
Lindsey
Jason B
JB
Dallas VA Medical Center (111A), 4500 South Lancaster Road, Dallas, TX, 75216, USA.
Banerjee
Subhash
S
Brilakis
Emmanouil S
ES
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D017023:Coronary Angiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D011475:Prosthesis Failure; D015607:Stents / Q000009:adverse effects*