title: Dual wire technique for aortic coarctation stent placement.
abstract: A young adult presented for percutaneous treatment of a narrow aortic coarctation. A very large left subclavian artery originated immediately proximal to the coarctation. In order not to exclude or jail the left subclavian artery with a stent, a double wire technique was used. From a femoral approach, two guide wires were positioned, one in the aortic arch and another in the subclavian artery. A stent crimped over a 16-mm balloon and a 4-Fr catheter was advanced over the two wires within a 14-Fr long introducer sheath. The stent was successfully deployed and molded within the bifurcation by a kissing balloon technique, relieving the obstruction and leaving a guaranteed passage to the subclavian artery. The double wire technique is an elegant way to deliver a stent safely across a narrowing with guaranteed access to important side branches.
authors.affiliation: Congenital, University Hospitals Leuven, Belgium.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Lampropoulos
authors.forename: Werner
authors.initials: W
authors.lastname: Budts
authors.forename: Marc
authors.initials: M
authors.lastname: Gewillig
mesh_terms: D000328:Adult; D000800:Angioplasty, Balloon / Q000295:instrumentation* / Q000379:methods*; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography; D057785:Catheters; D004867:Equipment Design; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging; D016896:Treatment Outcome