The term kissing balloon, often referring to the Kissing Balloon Technique (KBT), describes a specific medical procedure used to treat blockages in arteries at a bifurcation point (where an artery splits into two branches).
Understanding the Kissing Balloon Technique
The Kissing Balloon Technique (KBT) is a method used in percutaneous transluminal angioplasty. This procedure involves the simultaneous inflation of two balloons, typically one in each branch of a bifurcated artery, at the point where the blockage or lesion is located.
Historical Context
According to the provided reference, the term "kissing balloon" was first used by Dr. Andreas Gruentzig in 1980. Initially, he used this technique to describe the percutaneous treatment of iliac bifurcation lesions. A year later, in 1981, he extended the application of this technique to coronary interventions, treating blockages in the heart's arteries where they branch.
Purpose of KBT
The primary purpose of the KBT is to treat arterial bifurcation lesions. These are blockages or narrowings that occur precisely at the point where an artery divides. Treating such lesions can be complex because the blockage affects both the main vessel and at least one of its branches. The simultaneous inflation of two balloons aims to ensure that both branches are adequately opened and supported, preventing or minimizing the shifting of plaque or damage to the side branch ostium (opening).
Key Aspects of the Procedure
- Target Area: Arterial bifurcations (where an artery splits).
- Method: Percutaneous Transluminal Angioplasty.
- Action: Simultaneous inflation of two balloons, one in each branch vessel.
- Goal: Treat lesions effectively at the bifurcation point, maintaining flow in both branches.
In summary, the kissing balloon technique is a specialized angioplasty method designed to address the unique challenges of treating blockages located exactly where an artery divides into two, ensuring proper widening of both branches.
