title: Effective use of the balloon-deflection technique for severely angulated bifurcation lesions: a case report.
abstract: We successfully treated a patient with a severely angulated bifurcation lesion using the balloon deflection technique. For this technique, we advanced a coronary guidewire across a severely angulated bifurcation lesion by deflecting the guidewire off of the proximal portion of a coronary balloon that was advanced into a small, adjacent septal vessel. Excluding the coronary angioplasty balloon, no additional devices or specialized wires were needed to perform this maneuver. Using specialized coronary guidewires and/or creating a special curve at the tip of the coronary guidewire was not necessary. This technique is therefore available to all interventional cardiologists. In summary, the balloon deflection technique can be a useful method in order to advance a coronary guidewire across a highly angulated bifurcation lesion.
authors.affiliation: Department of Cardiology, Ehime Prefectural Niihama Hospital, 3-1-1 Hongo, Niihama, Ehime 792-0042, Japan. hkohno0925@yahoo.co.jp
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kohno
authors.forename: Shozo
authors.initials: S
authors.lastname: Sueda
authors.forename: Shigeru
authors.initials: S
authors.lastname: Nakamura
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation* / Q000379:methods*; D023921:Coronary Stenosis / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D016896:Treatment Outcome