Directional atherectomy is an alternative device for treatment of highly eccentric or proximal coronary lesions considered less suitable for balloon angioplasty. We report a patient with exuberant neointimal proliferation, extending into the left main coronary artery, following directional atherecto
Pullback atherectomy (PAC) for the treatment of complex bifurcation coronary artery disease
โ Scribed by Fischell, Tim A. ;Drexler, Helmut
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 396 KB
- Volume
- 38
- Category
- Article
- ISSN
- 0098-6569
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โฆ Synopsis
We report initial successful results using a novel retrograde cutting (pullback) atherectomy catheter (PAC) to treat complex bifurcation coronary artery dlsease, in 2 patients. In one case a bifurcatlon lesion involving the left anterlor descending and a large diagonal branch was treated without the need for two-wire or kissing-balloon technique. In the second case a high-grade eccentric lesion of the right coronary arfery at the site of a right ventricular marginal branch was treated successfully. This r e port describes the first clinical application of pullback atherectomy in human coronary circulatlon, and suggests that thls device may play a useful role in the treatment of complex bifurcation coronary artery disease.
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