Percutaneous Transluminal Angioplasty Using a Kissing Balloon Technique for Stenosis at the Bifurcation of the Left Vertebral Artery and the Suhclavian Artery

Abstract

Although reports in the literature have discussed the use of percutaneous transluminal angioplasty (PTA) for treating supra-aortic arterial stenoses, few reports have appeared with regard to PTA techniques for treating significant bifurcation stenoses of supra-aortic arteries. Thus, the authors herein describe PTA surgery that employed a kissing balloon technique (KBT) wherein two balloons were simultaneously inflated to prevent a side branch occlusion in a patient with stenosis that involved the bifurcation of the ostium of the left vertebral and the subclavian artery and succeeded in achieving sufficient dilatation. The surgery was successful and no complications occurred. Based on their results, the authors have found that the KBT technique is useful for the treatment of the supra-aortic bifurcation stenosis.