Korean Circ J.  2010 Aug;40(8):421-422. 10.4070/kcj.2010.40.8.421.

The "Five-in-Seven" Guiding Technique to Overcome Proximal Coronary Tortuosity During Primary Percutaneous Coronary Intervention

• Cho SY
• Moon KW
• Kim JH
• Yoo KD
• Oh SS
• No JH
• Park CH
• Kim CM

• KMID: 2145537
• DOI: http://doi.org/10.4070/kcj.2010.40.8.421

Abstract

No abstract available.

MeSH Terms

Percutaneous Coronary Intervention

Figure

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  Fig. 1 An anteroposterior view of right coronary angiogram showing distal culprit lesion and severe tortuosity of mid RCA. RCA: right coronary artery.

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  Fig. 2 A balloon catheter delivered successfully using a 6 Fr XB RCA guiding catheter.

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  Fig. 3 Successful stenting with extra deep intubation using a 5 Fr Heartrail guiding catheter through a 7 Fr Judkins Right guiding catheter.

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  Fig. 4 Final angiogram showing well-expanded stent at cuprit lesion and full opacification of distal RCA. RCA: right coronary artery.

Reference

1. Takahashi S, Saito S, Tanaka S, et al. New method to increase a backup support of a 6 French guiding coronary catheter. Catheter Cardiovasc Interv. 2004. 63:452–456.

2. Mamas MA, Fath-Ordoubadi F, Fraser D. Successful use of the Heartrail III catheter as a stent delivery catheter following failure of conventional techniques. Catheter Cardiovasc Interv. 2008. 71:358–363.