A Single Operator, Final Kissing Balloons Technique Using a Stopcock-Dependent Indeflator Setup

Video from "A Single Operator, Final Kissing Balloons Technique Using a Stopcock-Dependent Indeflator Setup"

Shawn Kelly, MD, Amol Raizada, MD, Tomasz Stys, MD, Adam Stys, MD, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota

The application of our setup permits the synchronization of balloon inflation during kissing balloon procedures (Video). This single operator technique reduces the chances of inadequate stent expansion and deformation caused by unequal pressure inflation related to unsynchronized balloon expansion. Pascal’s law dictates that the pressures of one balloon will equal the pressure in the other. This ensures synchronized inflation and uniform expansion of each balloon or stent. We show an example of using this technique in a left anterior descending and diagonal branch bifurcation intervention. It is easily implemented, intuitive, and time efficient, providing an elegant way for uniform balloons expansion, which could improve maximal luminal gain and thus patency of the vessels.