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The “Poor Man’s” Scoring Balloon 

The “Poor Man’s” Scoring Balloon
The “Poor Man’s” Scoring Balloon

S. Lowell Kahn

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date: 24 June 2021

This chapter describes the bench creation of a “poor man’s scoring balloon” as an alternative to commercially available scoring balloons. This is a simple procedure whereby two wires are placed side by side through the stenosis or occlusion to be treated. A standard angioplasty balloon is advanced over the working wire adjacent to the buddy wire. A minimal twisting is performed while advancing the balloon to wrap the buddy wire modestly around the balloon. The balloon is then inflated, and the spiral buddy wire acts as a scoring element to produce a more effective angioplasty. Given that two or more wires are often utilized in a peripheral revascularization, this technique can be performed with little or no additional cost. This procedure is simple to perform and works well in calcified or fibrotic lesions.

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