Korean Circ J.  2009 Nov;39(11):499-501. 10.4070/kcj.2009.39.11.499.

Effectiveness of the Hugging Balloon Technique in Coronary Angioplasty for a Heavy, Encircling, Calcified Coronary Lesion

• Ahn MS
• Yoon J
• Lee JW
• Lee KH
• Kim JY
• Yoo BS
• Lee SH
• Choe KH

• KMID: 2225654
• DOI: http://doi.org/10.4070/kcj.2009.39.11.499

Abstract

We report our experience in coronary angioplasty and intravascular ultrasonography (IVUS) on a heavy, encircling, calcified lesion that was not dilated with the use of a cutting balloon and a non-compliant balloon. The angioplasty was successfully performed with a simple and inexpensive hugging balloon technique.

Keyword

Coronary artery stenosis; Angioplasty, balloon; Intravascular sonography

MeSH Terms

Angioplasty
Angioplasty, Balloon
Coronary Stenosis
Ultrasonography, Interventional

Figure

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  Fig. 1 Case 1. A 76-year-old male with ST elevated myocardial infarction. Coronary angiography showing residual stenosis and haziness (arrow head) after stenting (A). Hugging balloon technique with two small balloons (B). Cross-sectional image of intravascular ultrasonography showing under-expanded stent (arrow head) and encircling calcification (arrow) (C) and ellipsoidal breakage (arrow head) of encircling calcium (D).

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  Fig. 2 Case 2. A 68-year-old male with ST elevated myocardial infarction. Angiography after manual thrombus aspiration (A). Resolution of indentation with hugging balloon technique with two small balloons (B). Cross-sectional image of intravascular ultrasonography showing encircling calcification (arrow head) (C) and linear breakage (arrow head) of encircling calcification (D).

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