In this complex world , simple innovations fail . . . just because they are simple !
Here is a new* PTCA catheter which has a two balloons , the distal one dilates the lesion and the proximal one has a stent over it . The stent is just deployed after the dilatation by the proximal balloon . The proximal balloon not only help us prepare the lesion before stenting it also helps in crossing difficult lesions . Further , it can be even used to post dilate the lesion . It can be a non compliant balloon as well . It appears a good concept .
*Not really new I believe , Accuramed owns the patent for this twin balloon catheter over a decade now .(First twin balloon Gemini PTCA was used in 1988 )
I do not know why we haven’t adopted it yet , while many dubious innovations are making merry around the world !
The only downside could be , combinations of stent and balloon sizes are limited . But , it is not a major issue .The ability to fine tune the stent apposition moments after the procedure , by h a simple pull back is just amazing !
This catheter is made by
A C C U R A
Medizintechnik GmbH
Max-Planck-Str. 33 61184 Karben Germany
Tel +49-6039-9201-0 Fax +49-6039-9201-22
E-Mail info@accura.info
http://www.accuramed.de
Final message
Two balloons over a single catheter is a new development .I wonder it can be the standard of care in all PCIs . Hope somebody takes this concept to the next level for the benefit of our patients.
Link to the manufacture
http://www.accuramed.de/fileadmin/daten/en/Gemini_System.pdf
Dr.S.Venkatesan MD 
Leave a Reply