Simultaneous triple-balloon inflation technique within a 6 Fr guiding catheter for a trifurcation lesion.
We report two cases of trifurcation lesions that were successfully treated with simultaneous triple-balloon inflation. One of the potential limitations with using simultaneous triple-balloon inflation has been the requirement for a larger guiding catheter (8 Fr or larger). This limitation was overcome by using 0.010 inch guidewires and 0.010 inch guidewire compatible balloon catheters with a 6 Fr guiding catheter via a transradial approach (The King Ghidorah Technique). The other advantage of the simultaneous triple-balloon inflation was to obtain an almost complete round circle (symmetry index 0.9) at the left main coronary artery by intravascular ultrasound imaging.
Matsukage
Takashi
T
Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan. ptc@b03.itscom.net
Masuda
Naoki
N
Ikari
Yuji
Y
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods*; D002404:Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography