Kissing balloon technique in complex ptca: Single guiding catheter and dual wire rapid exchange system

Abstract

This report is a description, based on four cases, of a variation from previously described approaches for accomplishing the "kissing balloon" technique for complex PTCA. We describe a case in which a single guiding catheter is utilized in combination with two over-the-wire monorail type balloon catheters allowing use of standard length (175 cm) guidewires. Various combinations of balloon diameters are described. We believe this approach has significant advantages over other techniques, principally in its rapid and easy usage.

Provisional T‐stenting and kissing balloon in the treatment of coronary bifurcation lesions: Results of the French multicenter “TULIPE” study

“…Various techniques have been used, including ''kissing'' balloon [1][2][3], directional [4], or rotational atherectomy and, since the introduction of stents, T-, V-, and Y-stenting, and the ''culotte'' technique [5][6][7][8][9][10][11][12][13]. None of these approaches has proven to be distinctly superior, and their applications have produced mixed short-and long-term results.…”

Successful percutaneous stenting of a right gastroepiploic coronary bypass graft using monorail delivery system: A case report

“…Roriz et al [4] have described a similar report earlier, where they manually crimped an 8-mmlong stent over the previously used 3.0 ϫ 20 mm balloon. The monorail/rapid-exchange system is quicker and uses the standard-length guidewires without the added expense and cumbersome use of long exchange or extended wires [5]. On the other hand, the use of an over-the-wire system where the guidewire traverses the entire length of the catheter shaft provides better trackability, which makes the advancement of the balloon and/or stent easier.…”

Kissing Balloon Inflation in Percutaneous Coronary Interventions

“…To avoid a dual guiding catheter system, a single-guide, two-wire technique, sometimes called kissing wire, has been advocated as a simpler, but equally effective, approach to SB preservation (30). Advancing technology has rapidly made KB possible through a single guiding catheter using either 2 balloons with fixed wires (31), a balloon with a fixed wire and a balloon over the wire (23), 2 balloons over the wire (32), or 2 rapid exchange balloons (33). In 1996, Krikorian et al (34) proposed a simplification of the technique with a single inflation device connected to the 2 balloons through a 3-way stopcock, allowing for single-operator interventions.…”