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Guidewire-induced coronary pseudostenosis as a source of error during physiological guidance of stent deployment

✍ Scribed by Javier Escaned; Alex Flores; Pablo García; Rosana Hernández; Fernando Alfonso; Antonio Fernández-Ortiz; Manel Sabaté; Camino Bañuelos; Carlos Macaya


Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
233 KB
Volume
51
Category
Article
ISSN
1522-1946

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✦ Synopsis


Coronary pseudostenoses are a known result of the interaction between tortuous vessels and guidewires and are generally handled by the interventionalist as inocuous side effects of intracoronary instrumentation. The present report demonstrates that pseudostenosis may have hemodynamic relevance and may constitute an important source of error when physiological guidance of percutaneous procedures is performed using sensor-tipped guidewires.