Buddy balloon technique
Abbildung 1A-B: Single NC-ballon applies very high pressures uniformly against the diseased arteries’ wall (A). Buddy balloon technique using 2 NC-balloons delivers the same pressures but causes tensile forces facilitating plaque fracture in severely calcified lesion (B).


Keywords: Buddy-balloon Technik,  buddy-balloon technique,  Kardiologie,  OCT,  Schema

Coronary-CT
Abbildung 2: Coronary-CT scan showing heavy calcified plaques in the proximal LAD


Keywords: Buddy-balloon Technik,  buddy-balloon technique,  Coronary-CT scan,  Kardiologie,  OCT

OCT
Abbildung 3: OCT revealed a fibro-calcified plaque with lipid deposits (* = calcified areas, arrowhead = lipidic/fibrotic plaque, + = guidewire artefact)


Keywords: Buddy-balloon Technik,  buddy-balloon technique,  Kardiologie,  OCT

Buddy ballon technique
Abbildung 4A-B: Buddy ballon technique: 2 wires (Turntrac™) advanced into the LAD. 1.5 (1 dot in the centre) and 2.5 mm (two dots at the edges) NC-balloons placed in parallel in the heavy calcified proximal LAD and inflated simultaneously with high pressure (A). Stent deployment (DES; 4.0 x 28 mm) (B)


Keywords: Buddy-balloon Technik,  buddy-balloon technique,  Kardiologie,  OCT

OCT
Abbildung 5: OCT images post ballon angioplasty using buddy ballon technique. Several cracks and fractures were displayed by OCT imaging (* = fibro-calcified plaque, arrowhead = rupture, + = guidewire artefact)


Keywords: Buddy-balloon Technik,  buddy-balloon technique,  Kardiologie,  OCT

OCT
Abbildung 6: OCT post stent implantation showed good stent apposition and expansion and satisfying minimal stent area (arrowheads = stent struts, + = guidewire artefact)


Keywords: Buddy-balloon Technik,  buddy-balloon technique,  Kardiologie,  OCT