Tandem Wire Angioplasty

Stenotic lesions at vessel branch points are not uncommon. In arteries, sheer stress is thought to be atheroprotective, and disturbances in flow at ostia or bifurcations predispose to atherogenesis. When angioplasty of such stenotic lesions is necessary, “kissing balloon” or “tandem (buddy) wire” techniques are often employed.

SUGGESTED READINGS

• 1 Baus S, Radermacher J, Galanski M, Chavan A. Kissing balloon technique for angioplasty of renal artery bifurcation stenoses.  J Vasc Interv Radiol. 2003;  14 1455-1459
• 2 Chevalier B, Glatt B, Royer T, Guyon P. Placement of coronary stents in bifurcation lesions by the “culotte” technique.  Am J Cardiol. 1998;  82 943-949
• 3 Tegtmeyer C J, Kellum C D, Kron I L, Mentzer Jr R M. Percutaneous transluminal angioplasty in the region of the aortic bifurcation: the two-balloon technique with results and long-term follow-up study.  Radiology. 1985;  157 661-665