A Novel “Pull Back Balloon Assisted Wiring Technique” for the Treatment of Extremely Angulated Bifurcation Lesion

K. Vichairuangthum
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Abstract

We aim to present a new way to introduce the “Pull back balloon assisted wiring technique” to solve markedly angulated bifurcated lesions. We describe a clinical case of 50 -year –old man with crescendo chest pain and dyspnea, who underwent a coronary angiogram showed critical stenosis of bifurcation septal branch – LAD. Unable to access LAD due to extremely angulated take-off. The last resource technique when no other options are available in the Plaque-plowing technique, pull back balloon assisted wiring to modify the angle of bifurcation. This technique may be useful in the appropriate anatomical and clinical setting.
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一种新颖的“拉回球囊辅助钢丝技术”治疗极端成角分叉病变
我们的目的是提出一种新的方法,引入“拉回球囊辅助电线技术”来解决明显成角的分叉性病变。我们描述了一个50岁男性的临床病例,他有渐强的胸痛和呼吸困难,他接受冠状动脉造影显示严重的室间隔分支狭窄- LAD。由于起飞角度太大,无法进入降速区。最后一个资源技术,当没有其他选择可用的斑块耕作技术,拉回气球辅助电线,以修改分叉的角度。这项技术在适当的解剖和临床环境中可能是有用的。
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