Hugging balloon coronary angioplasty of a large left circumflex coronary artery

Spaccavento, Leo J.; Tomlinson, Gregory C.; Grassman, Eric D.

doi:10.1002/ccd.1810190309

Cited by 5 publications

(1 citation statement)

References 5 publications

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“…The use of side-by-side balloons during percutaneous transluminal coronary angioplasty has been described [ 1,2]. The "hugging balloon" technique has been largely simplified by the appearance of fixed guide wire systems, so that two balloon catheters can be introduced into the same 8 French guiding catheter [3-51.…”

Section: Introductionmentioning

confidence: 99%

PTCA with side‐by‐side balloon using fixed guide wire systems: A potential alternative autoperfusion device‐an in vitro study

Colle¹,

Delarche²

1992

Cathet. Cardiovasc. Diagn.

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The use of "hugging balloons" for the implementation of a coronary angioplasty is a well-known and much-written-about technique. It has not, on the other hand, ever been stressed that two inflated hugging balloons are not totally obstructive, leaving enough space, between the balloons and the arterial wall, for perfusion. The cross section of this free area can be as much as 12% of the total arterial cross section, when the side-by-side balloons are of a relatively similar size. Calculations show that similar total conduit cross sections are achieved when inflating either a 3.0 balloon or two 2.0 side-by-side balloons. An in vitro experiment compares how systems using 2.0 double balloons and a 3.0 autoperfusion balloon affect the distal flow of a 3 mm internal diameter conduit. A semi-rigid silastic tubing is perfused with a 5% glucose isotonic solution at various predetermined proximal pressure levels. Distal pressures and flows are measured at different stages: with no balloon, with deflated balloons, and with inflated balloons. Comparison shows that 1) the double balloon system offers little resistance to flow compared to the autoperfusion balloon; 2) this system's rate of perfusion run-off is hardly affected and is constantly better than with the autoperfusion balloon; 3) this difference is all the more marked, the lower the proximal perfusion. These results suggest that the use of a double balloon could, in some cases, provide an alternative solution to autoperfusion equipment. Further clinical studies are needed to test this hypothesis.

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Section: Introductionmentioning

confidence: 99%

PTCA with side‐by‐side balloon using fixed guide wire systems: A potential alternative autoperfusion device‐an in vitro study

Colle¹,

Delarche²

1992

Cathet. Cardiovasc. Diagn.

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Hugging perfusion balloon salvage of a right coronary artery angioplasty

Ebersole

Campos-Esteve

Miller

1996

Cathet. Cardiovasc. Diagn.

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Multivessel ptca using the hugging balloon technique based on single guide catheter and dual balloon‐on‐a‐wire systems

Yoshida

Yabe

Nakano

et al. 1991

Cathet. Cardiovasc. Diagn.

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For percutaneous transluminal coronary angioplasty (PTCA) of oversized arteries, often-times a satisfactory dilatation cannot be achieved with conventional balloon systems due to the unavailability of adequately sized balloons. This fact has contributed to a higher restenosis rate for this group of patients. We were able to obtain a satisfactory dilatation result in an oversized right coronary artery with a shepherd's crook configuration and eccentric anatomy at the origin using two balloon-on-a-wire systems and an Amplatz type guiding catheter. Although such favorable dilatation of an oversized artery using this "hugging balloon technique" can be expected, issues do exist such as difficult maneuverability and estimation of the balloon size obtained through simultaneous dual balloon inflation wherein size does not simply equal the sum of the two balloon catheters. It is hoped that there will be further improvements of the technique and development of new systems. At this time, however, it is felt that this is the most effective and reasonable strategy to achieve a high chance of success in oversized vessel lesions.

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Hugging balloon coronary angioplasty of a large left circumflex coronary artery

Abstract: A case is described in which hugging balloons were used to perform coronary angioplasty through a single catheter. A discussion concerning selection of balloon combinations and technique is included.

Cited by 5 publications

References 5 publications

PTCA with side‐by‐side balloon using fixed guide wire systems: A potential alternative autoperfusion device‐an in vitro study

PTCA with side‐by‐side balloon using fixed guide wire systems: A potential alternative autoperfusion device‐an in vitro study

Hugging perfusion balloon salvage of a right coronary artery angioplasty

Multivessel ptca using the hugging balloon technique based on single guide catheter and dual balloon‐on‐a‐wire systems

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