Modified Floating Wire: A Novel Aorto-Ostial Coronary Stenting Technique

: We present a modified floating wire technique for aorto-ostial coronary stenting. This novel approach ensures accurate ostial alignment without stent protrusion. The technique involves using a second wire as a marker at the true ostium to guide optimal stent placement. A balloon catheter is advanced on the floating wire to delineate the aorto-ostial plane. This method reduces the need for contrast media, prevents deep intubation of the guide catheter, and resembles the stent draw-back technique. The modified floating wire technique offers a safe and effective method for aorto-ostial coronary stenting and has potential for broader clinical application.