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Buddy wire, buddy balloon or better together!
Alexander Goldberg1, Roberto Klein, Alon Marmor
1Sieff Government Hospital, Cardiology, Safed, Israel. rgoldberg@myway.com
The Journal of Invasive Cardiology
|January 9, 2008
Summary
Crossing challenging coronary artery lesions is difficult. A novel fixed-wire balloon catheter offers a new solution for procedural success in complex stenting cases.
Area of Science:
- Interventional Cardiology
- Cardiovascular Devices
Background:
- Procedural failure in coronary interventions often results from the inability to cross tortuous, calcified, or previously stented arterial segments.
- Existing techniques like buddy wires, balloon deflection, and specialized guidewires aim to improve stent delivery in complex lesions.
Observation:
- A case study involving a patient with challenging coronary anatomy is presented.
- The difficulty in traversing a complex lesion with standard angioplasty balloons or stents was noted.
Findings:
- An ACE® fixed-wire balloon dilatation catheter was utilized as a 'buddy' device.
- This approach effectively combined the benefits of multiple techniques, facilitating successful lesion crossing and stent delivery.
Implications:
- This case highlights a potential new strategy for managing complex coronary interventions.
- The ACE® catheter may offer an improved solution for challenging stent delivery, potentially reducing procedural failures.
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