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Coronary Angioplasty of Bifurcational Stenoses: A New Approach Utilizing a Single-Guide, Double-Probe Technique: Case Reports

Division of Cardiology, Department of Medicine, Medical College of Virginia, Richmond, Virginia

Evelyne Goudreau

Division of Cardiology, Department of Medicine, Medical College of Virginia, Richmond, Virginia

George W. Vetrovec

Division of Cardiology, Department of Medicine, Medical College of Virginia, Richmond, Virginia

The authors describe a new approach to percutaneous transluminal coronary angioplasty (PTCA) of bifurcational lesions with a single-guide, "kissing balloon" technique, utilizing two probe dilatation systems, inserted simultaneously into the guiding catheter and across both diseased branches. The versatility of the probe dilatation system in complex angioplasty is portrayed, both for simultaneous or alternate balloon inflations, and the low-profile characteristics of the system are highlighted, which allow a double-probe introduction into a single guiding catheter, good visualization still being retained by guide injections.

Angiology, Vol. 41, No. 2, 145-150 (1990)
DOI: 10.1177/000331979004100209


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