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Coronary and peripheral stenting in aorto‐ostial protruding stents: The balloon assisted access to protruding stent technique
Author(s) -
Helmy Tarek A.,
Sanchez Carlos E.,
Bailey Steven R.
Publication year - 2016
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.26111
Subject(s) - medicine , stent , ostium , restenosis , balloon , lumen (anatomy) , catheter , radiology , balloon catheter , angioplasty , surgery
Treatment of aorto‐ostial in‐stent restenosis lesions represents a challenge for interventional cardiologists. Excessive protrusion of the stent into the aorta may lead to multiple technical problems, such as difficult catheter reengagement of the vessel ostium or inability to re‐wire through the stent lumen in repeat interventions. We describe a balloon assisted access to protruding stent technique in cases where conventional coaxial engagement of an aorto‐ostial protruding stent with the guide catheter or passage of the guide wire through the true lumen is not feasible. This technique is applicable both in coronary and peripheral arteries. © 2015 Wiley Periodicals, Inc.