EBC - ON DEMAND
Role of dual-lumen catheter support
European Bifurcation Club 2011, EBC 2011 – Lisbon, Portugal
Side Branch access session
Role of dual-lumen catheter support
Author: Yoichi Nozaki, MD, Hokko Memorial Hospital Sapporo, Hokkaido, Japan
LIMITATIONS
- desease in distal main branch
Need enough space in distal main vessel for working swan-neck shaped wire - Side branch stenosis near bifurcation
- The 2nd wire may trap after crossing side branch ostium (very poor cotrolability in side branch due to complex shaping of the 2d wire)
- Risk of perforation in wire tip using hydrophilic coating wire
- care in time of double lumen catheter removal
SUMMARY
- Double lumen catheter is effective in getting complex bifurcated side branch
- Reverse wire technique using swan neck shaped wire with double lumen catheter is effective in some complex bifurcation lesion subset (just proximal stenosis in main vessel and steeply angled side branch)