When One Won't Do It, Use Two—Double “Buddy” Wiring to Facilitate Stent Advancement Across a Highly Calcified Artery

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Abstract

Percutaneous coronary intervention (PCI) of heavily calcified vessels poses several problems including difficulty in delivering stents to the target lesion. Effective strategies include rotational atherectomy and the use of a “buddy” wire, the latter acting as a track that directs the stent away from the vessel wall. There are no reports in the literature of using a second “buddy” wire when one fails. We report on a case of a second “buddy” wire saving the day during PCI of a highly calcified right coronary artery wherein the stent failed to reach the lesion until the second wire was deployed.

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