Impact of directional atherectomy on adjacent branch vessels

Trifurcation triple balloon angioplasty in a dual left anterior descending coronary artery: The “Ménage à trois” revisited

“…The approach to stenoses involving branch vessels, most commonly bifurcation stenosis, has been well outlined [ 1,441. More recently, the use of directional coronary atherectomy [9,10] has also been described. Simultaneous inflation of two balloon catheters in true bifurcation stenoses, i.e., "the kissing technique,'' is often required to achieve a good result.…”