"Candy Cane" Guide Catheter Extension for Stent Delivery

Stent delivery to a native coronary artery lesion located proximal to the anastomosis of a bypass graft can be challenging due to severe tortuosity. Guide catheter extensions, such as the GuideLiner, can facilitate equipment delivery. In the presented case, a 180° anastomotic bend in the saphenous v...

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Bibliographic Details
Published inThe Journal of invasive cardiology Vol. 27; no. 8; pp. E169 - E170
Main Authors Repanas, Theodoros I, Christopoulos, Georgios, Brilakis, Emmanouil S
Format Journal Article
LanguageEnglish
Published United States 01.08.2015
Subjects
Aged
Catheters
Coronary Angiography
Coronary Artery Disease - diagnosis
Coronary Artery Disease - surgery
Coronary Vessels - diagnostic imaging
Coronary Vessels - surgery
Drug-Eluting Stents
Equipment Design
Humans
Male
Percutaneous Coronary Intervention - instrumentation
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Summary:Stent delivery to a native coronary artery lesion located proximal to the anastomosis of a bypass graft can be challenging due to severe tortuosity. Guide catheter extensions, such as the GuideLiner, can facilitate equipment delivery. In the presented case, a 180° anastomotic bend in the saphenous vein graft resulted in several failed attempts at stent delivery. A 6 Fr guide catheter extension was then advanced through the extreme angulation at the SVG anastomosis using a distal-anchor technique and assuming a "candy cane" configuration, enabling stent delivery.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1557-2501