Figure 1

"Park'n Ride"-Maneuver. (a) Angulation of the circumflex artery <90°, early branching and tight stenosis in the proximal part of the circumflex artery. (b) Fish-hook shape of a Traverse™ PCI wire (bottom right) and passing of the wire into an atrial side branch of the circumflex artery with a Transit™ infusion catheter ("turn the corner"). (c) The infusion catheter rests in the atrial side branch ("park") while the flexible fish-hook shaped wire is exchanged against a more stable Balance Middle Weight™ wire with a flat and short-tipped shape ("steer"). (d) The wire is retracted into the infusion catheter so that only 2–3 mm of the wire are free in the vascular lumen. The infusion catheter is then pulled back with the wire ("back-up"). As soon as the wire snaps into the lumen of the main vessel it is steered forward through the tight stenosis ("ride"). (e) After balloon inflation a stent is placed. (d) complete opening of the circumflex artery, no dissection, atrial side-branch is preserved.