Postępy w Kardiologii Interwencyjnej

Abstract

3/2013 vol. 9

New methods in diagnosis and therapySuccessful percutaneous coronary intervention using a 4-in-3 “Slender Mother and Child” PCI technique

Postep Kardiol Inter 2013; 9, 3 (33): 286–290
Online publish date: 2013/09/16
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We report two cases of successful percutaneous coronary intervention (PCI) using a 4-in-3 “Slender Mother and Child” PCI technique. In both cases, coronary angiography revealed severe stenosis of the right coronary artery (RCA). In both cases, 5-Fr sheathless guiding catheters were inserted into the RCA (virtual 3-Fr PCI) but stents could not pass through because of stents previously implanted at the proximal site of the target lesions. After 4-Fr straight “child” guiding catheters were inserted into the 5-Fr sheathless “slender mother” guiding catheters, they were deployed successfully at the target lesions. This system might be useful to improve stent delivery in virtual 3-Fr PCI.
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