A Novel “Pull Back Balloon Assisted Wiring Technique” for the Treatment of Extremely Angulated Bifurcation Lesion

We aim to present a new way to introduce the “Pull back balloon assisted wiring technique” to solve markedly angulated bifurcated lesions. We describe a clinical case of 50 -year –old man with crescendo chest pain and dyspnea, who underwent a coronary angiogram showed critical stenosis of bifurcation septal branch – LAD. Unable to access LAD due to extremely angulated take-off. The last resource technique when no other options are available in the Plaque-plowing technique, pull back balloon assisted wiring to modify the angle of bifurcation. This technique may be useful in the appropriate anatomical and clinical setting.