Balloon angioplasty of coronary bifurcation lesions: The kissing balloon technique

作者: Barry S. George , Richard K. Myler , Simon H. Stertzer , David A. Clark , Gilles Cote

DOI: 10.1002/CCD.1810120212

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摘要: Initial experience with the technique of "kissing balloon" angioplasty is described in 52 patients undergoing coronary angioplasty. Guiding catheters employing both femoral and brachial approach were used all but two angioplasties and, addition, bilateral was renal peripheral angioplasties. success achieved 51 (98%) patients. Abrupt closure requiring urgent revascularization occurred one patient six hours following completion procedure. Another developed a new Q-wave on electrocardiogram moderate elevation CPK-MB fraction procedure due to loss diagonal branch. No deaths this series. Angiographic restenosis ten In recurrence group, five had repeat kissing balloon angioplasty, single vessel three chose elective surgical revascularization. Based our experience, can be performed safely utilizing brachio-femoral technique. The risk major side branch occlusion minimized overall complication rate does not significantly differ from that Patient selection criteria are based upon angiographic relationship important determining initial long-term

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