“Head‐to‐toe” kissing balloon angioplasty during PCI of right coronary artery chronic total occlusion

New techniques involving the use of retrograde channels have enabled successful revascularization of chronically occluded arteries previously not amenable to standard strategies. We describe the use of a simultaneous antegrade and retrograde approach to perform bifurcation kissing balloon angioplasty which was not possible using a standard antegrade approach. As the balloons are oriented in opposite rather than identical directions, we have named this technique “Head‐to‐Toe Kissing.” © 2013 Wiley Periodicals, Inc.