Abstract
Stent delivery to a native coronary artery lesion located proximal to the anastomosis of a bypass graft can be challenging due to severe tortuosity. Guide catheter extensions, such as the GuideLiner, can facilitate equipment delivery. In the presented case, a 180° anastomotic bend in the saphenous vein graft resulted in several failed attempts at stent delivery. A 6 Fr guide catheter extension was then advanced through the extreme angulation at the SVG anastomosis using a distal-anchor technique and assuming a "candy cane" configuration, enabling stent delivery.
Original language | English (US) |
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Pages (from-to) | E169-E170 |
Journal | Journal of Invasive Cardiology |
Volume | 27 |
Issue number | 8 |
State | Published - Aug 1 2015 |
Keywords
- GuideLiner
- Guidezilla
- guide catheter extension
- new technique
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine