Retrograde application of the buddy wire technique

We report the case of an 85-year-old man who presented with worsening exertional dyspnoea 18 months after coronary artery bypass surgery for critical three vessel coronary artery disease. Coronary angiography revealed an anastomotic stricture between a radial artery graft and the first diagonal branch. Percutaneous coronary intervention utilizing a retrograde application of the “buddy” wire technique was then performed. © 2007 Wiley-Liss, Inc.