In-stent anchoring facilitates balloon delivery for final kissing

Kissing-balloon inflation has been developed for percutaneous bifurcation interventions to improve outcomes and reduced angiographic (re)stenosis. However, this procedure is sometimes technically challenging due to inability to deliver the side-branch (SB) balloon across the structure of the main vessel stent(s). The balloon anchoring technique is reported to enable equipment delivery through complex lesions. However, the most important limitation is injury at the site of balloon inflation. In this paper, we describe an improved in-stent anchoring technique to facilitate balloon delivery to SB and at the same time avoid intimal injury.