We want to show you a novel way to introduce the "Pull back balloon assisted wiring technique" for bifurcated lesions that are substantially angulated. A 50-year-old man presented with crescendo chest pain and dyspnea, and a coronary angiography revealed significant stenosis of the bifurcation septal branch – LAD. Due to an excessively angulated take-off, LAD was unable to be accessed. Pull back balloon assisted wiring to change the angle of bifurcation as a last resort procedure when no other options in the Plaque-plowing technique are available. This approach could be beneficial in the right anatomical and therapeutic situation.
Author (s) Details
Kitigon Vichairuangthum
Division of Cardiology, Royal Heart Center, Hua Hin hospital, Prachuap Khiri Khan, Thailand and Division of Cardiology, Suranaree University of Technology Hospital, Nakhon Ratchasima, Thailand.
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