Buddy-wire technique during rotational Atherectomy: Simple and effective solution to achieve strong back-up support.
Atherectomy, Coronary
/ adverse effects
Cardiac Catheterization
/ adverse effects
Cardiac Catheters
Coronary Artery Disease
/ diagnostic imaging
Humans
Male
Middle Aged
Percutaneous Coronary Intervention
/ adverse effects
Severity of Illness Index
Treatment Outcome
Vascular Calcification
/ diagnostic imaging
Journal
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139
Informations de publication
Date de publication:
15 02 2019
15 02 2019
Historique:
received:
02
05
2018
revised:
29
07
2018
accepted:
20
08
2018
pubmed:
24
9
2018
medline:
18
3
2020
entrez:
24
9
2018
Statut:
ppublish
Résumé
A 52-year-old male underwent percutaneous coronary intervention (PCI) using rotational atherectomy (RA: 1.5-mm burr) for a severely calcified lesion in the proximal to mid obtuse marginal (OM) branch. Even with 7 Fr extra back-up guiding catheter via femoral access, the burr could not cross the lesion due to insufficient back-up support. In order to achieve stronger back-up support, we kept the burr at the position in the OM branch and placed a supportive wire in left anterior descending artery through the side of drive-shaft sheath of the Rotablator, which sufficiently stabilized the guiding catheter during the ablation and the burr crossed the lesion. This case demonstrates that a simple technique of placing additional supportive wire in the other vessel during RA could be an effective and safe solution to facilitate improved back-up support without necessity to change the PCI system used already.
Types de publication
Case Reports
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
436-439Informations de copyright
© 2018 Wiley Periodicals, Inc.