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A case of sheathless transradial coronary intervention for complex coronary lesions with a standard guiding catheter.

Choi J, Suh J, Seo HS, Cho YH, Lee NH - Korean Circ J (2013)

Bottom Line: One of the major limitations of transradial coronary intervention is the inability to use large guiding system, which leads to the development of dedicated sheathless guide catheter system.However, these devices are not available in the Republic of Korea.We present a case in which conventional guiding catheter was used for sheathless transradial coronary intervention in the treatment of complex coronary anatomy.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.

ABSTRACT
One of the major limitations of transradial coronary intervention is the inability to use large guiding system, which leads to the development of dedicated sheathless guide catheter system. However, these devices are not available in the Republic of Korea. We present a case in which conventional guiding catheter was used for sheathless transradial coronary intervention in the treatment of complex coronary anatomy.

No MeSH data available.


Related in: MedlinePlus

The sheathless transradial coronary intervention for left circumflex lesion. A: after multiple predilatation of the second obtuse marginal branch, the stent was deployed by culottes technique across the previous left circumflex stent (arrow). B: the kissing balloon dilatation was successfully performed (arrows).
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Figure 3: The sheathless transradial coronary intervention for left circumflex lesion. A: after multiple predilatation of the second obtuse marginal branch, the stent was deployed by culottes technique across the previous left circumflex stent (arrow). B: the kissing balloon dilatation was successfully performed (arrows).

Mentions: The first target lesion was the distal LCX bifurcation lesion. After a guide wire was passed into the second OM, multiple predilatations were performed, and Xience prime 2.5×23 mm stent was deployed by culottes technique across the previous LCX stent (Fig. 3A). Thereafter, kissing balloon dilatation was successfully performed (Fig. 3B). Because proximal LAD target lesion had a severe calcification, rotational atherectomy (1.5 mm burr) was performed five times (Fig. 4A), and 2 Xience prime stents (2.75×15 mm, 3.5×23 mm) were implanted with the support of 5 Fr, 120 cm Heartrail catheter (child-in-mother technique) after multiple predilatations (Fig. 4B).


A case of sheathless transradial coronary intervention for complex coronary lesions with a standard guiding catheter.

Choi J, Suh J, Seo HS, Cho YH, Lee NH - Korean Circ J (2013)

The sheathless transradial coronary intervention for left circumflex lesion. A: after multiple predilatation of the second obtuse marginal branch, the stent was deployed by culottes technique across the previous left circumflex stent (arrow). B: the kissing balloon dilatation was successfully performed (arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3675311&req=5

Figure 3: The sheathless transradial coronary intervention for left circumflex lesion. A: after multiple predilatation of the second obtuse marginal branch, the stent was deployed by culottes technique across the previous left circumflex stent (arrow). B: the kissing balloon dilatation was successfully performed (arrows).
Mentions: The first target lesion was the distal LCX bifurcation lesion. After a guide wire was passed into the second OM, multiple predilatations were performed, and Xience prime 2.5×23 mm stent was deployed by culottes technique across the previous LCX stent (Fig. 3A). Thereafter, kissing balloon dilatation was successfully performed (Fig. 3B). Because proximal LAD target lesion had a severe calcification, rotational atherectomy (1.5 mm burr) was performed five times (Fig. 4A), and 2 Xience prime stents (2.75×15 mm, 3.5×23 mm) were implanted with the support of 5 Fr, 120 cm Heartrail catheter (child-in-mother technique) after multiple predilatations (Fig. 4B).

Bottom Line: One of the major limitations of transradial coronary intervention is the inability to use large guiding system, which leads to the development of dedicated sheathless guide catheter system.However, these devices are not available in the Republic of Korea.We present a case in which conventional guiding catheter was used for sheathless transradial coronary intervention in the treatment of complex coronary anatomy.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.

ABSTRACT
One of the major limitations of transradial coronary intervention is the inability to use large guiding system, which leads to the development of dedicated sheathless guide catheter system. However, these devices are not available in the Republic of Korea. We present a case in which conventional guiding catheter was used for sheathless transradial coronary intervention in the treatment of complex coronary anatomy.

No MeSH data available.


Related in: MedlinePlus