SCAI Bifurcation Club Webinar Series: Procedural Approaches and Techniques for Complex Lesions-Discussion: Part 2

Video Transcription

Video Summary

In this video, John is asked how he sizes and chooses balloons for kissing balloon inflation. He explains that they try to use a size that is one-to-one according to the stent being implanted. They are conservative in predilating the side branch unless necessary to reduce the risk of occlusion. The selection of balloons depends on the type of plaque, with calcified lesions requiring close to one-to-one sizing. Non-compliant balloons are increasingly used for predilation and postdilation. For the final kissing balloon inflation, two non-compliant balloons are preferred to optimize stent expansion. The use of drug-coated balloons in side branches is still under discussion and requires further research.

Keywords

balloons

kissing balloon inflation

sizing

predilation

non-compliant balloons