Complex lesion angioplasty, such as chronic total occlusions, coronary vessels with right angle takeoffs, tortuous vessels, and tortuous internal mammary artery or saphenous vein grafts is a continuing challenge. The complex problems have been successfully managed with novel guiding catheter shapes
Usefulness of a tracking catheter in complex coronary angioplasty
โ Scribed by Brenot, Philippe
- Publisher
- John Wiley and Sons
- Year
- 1993
- Tongue
- English
- Weight
- 78 KB
- Volume
- 29
- Category
- Article
- ISSN
- 0098-6569
No coin nor oath required. For personal study only.
โฆ Synopsis
Letters to the Editor 75 catheters allows this technique, even with 7 French guiding catheters. The tandem balloon approach has several advantages: fewer balloon inflations and balloon-related periods of myocardial ischemia, shorter procedure duration, immediate results at both sites, and maintained vascular access in the distal vessel allowing immediate redilatation in case of abrupt closure.
In conclusion, coronary angioplasty of two lesions in the same vessel may be performed using tandem balloon angioplasty when a single long balloon is unavailable. More studies are needed to determine the safety and field of application of this approach.
๐ SIMILAR VOLUMES
## Since the introduction of coronary angioplasty by Gruntzig et al. (Circulation [Suppl Ill 56:84, 1977), a key determinant to overall success has been advancement in equipment technology. Major advances have been made in the availability of low-profile catheters in the last 5 years that have fac
Use of 6 French guiding catheters for elective percutaneous transluminal coronary angioplasty has been limited by lack of a compatible autoperfusion balloon catheter for management of complications such as acute vessel closure and large subinti-ma1 dissections. We describe the successful use of a lo