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Erschienen in: Cardiovascular Intervention and Therapeutics 4/2017

18.10.2016 | Case Report

Off-label use of 7Fr GuideLiner in the bifurcation coronary intervention protecting 2 side branches

verfasst von: Takayuki Warisawa, Toru Naganuma, Sunao Nakamura

Erschienen in: Cardiovascular Intervention and Therapeutics | Ausgabe 4/2017

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Abstract

We report a case of percutaneous coronary intervention in a bifurcation lesion involving left circumflex (LCx) artery and 2 major posterolateral (PL) arteries. The target LCx had diffuse long and severely calcified lesion with the acute takeoff angle from the left main. Despite adequate lesion preparation with rotational atherectomy and balloon angioplasty, the stent was not deliverable, even with deep intubation of 7Fr-guiding catheter. Conventional use of guiding extension catheter (GEC) would have required removal of a wire from at least one PL because of the device interference in the GEC. However, successful stenting was achieved without removal of wires from both PL with 7Fr GuideLiner. We have also demonstrated this mechanism on ex vivo bench testing.
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Metadaten
Titel
Off-label use of 7Fr GuideLiner in the bifurcation coronary intervention protecting 2 side branches
verfasst von
Takayuki Warisawa
Toru Naganuma
Sunao Nakamura
Publikationsdatum
18.10.2016
Verlag
Springer Japan
Erschienen in
Cardiovascular Intervention and Therapeutics / Ausgabe 4/2017
Print ISSN: 1868-4300
Elektronische ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-016-0435-8

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