Anchor wire technique improves device deliverability during PCI of CTOs and other complex subsets.
In: Acute cardiac care, Jg. 8 (2006), Heft 3, S. 139-42
Online
academicJournal
Zugriff:
Introduction: The DES era has increased the demand on PCI-based revascularization and lesion complexity. One of the technical problems still limiting success rates in complex PCI is limited device deliverability. This work describes a new technique to improve deliverability.
Methods: When deliverability was limited during PCI, a second 0.014-inch guide wire was inserted into the non-target artery. Then, another attempt was made to deliver the device to the target lesion.
Results: The technique was attempted in 13 consecutive cases with difficulties in delivering a device; five of CTO (38.5%), five of diffuse calcifications (38.5%), two of direct stenting (15.3%) and one case (7.7%) of dilated aortic root. The anchor wire technique was the only maneuver needed in eight (61.5%) cases. Additional technique was needed in four (30.7%) cases. In four out of five (80%) CTO cases, the anchor wire technique allowed successful PCI and to deliver a balloon across a CTO. Final procedural success was achieved in 12 (92.3%) cases.
Conclusions: The anchor wire technique can be very useful in increasing success rates in CTOs and various complex PCI's and has the advantage of being simple to use, without a need to re-cross the target lesion or to exchange PCI system.
Titel: |
Anchor wire technique improves device deliverability during PCI of CTOs and other complex subsets.
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Autor/in / Beteiligte Person: | Hamood, H ; Makhoul, N ; Grenadir, E ; Kusniec, F ; Rosenschein, U |
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Zeitschrift: | Acute cardiac care, Jg. 8 (2006), Heft 3, S. 139-42 |
Veröffentlichung: | London : Informa Healthcare ; <i>Original Publication</i>: Stockholm, Sweden : Taylor & Francis, c2006-, 2006 |
Medientyp: | academicJournal |
ISSN: | 1748-2941 (print) |
DOI: | 10.1080/17482940600885469 |
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