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Coronary angioplasty using 5 French guiding catheters: preliminary experience
Author(s) -
Gobeil François,
Lefèvre Thierry,
Louvard Yves,
Piéchaud JeanFrançois,
Morice MarieClaude
Publication year - 2000
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/1522-726x(200009)51:1<107::aid-ccd24>3.0.co;2-l
Subject(s) - medicine , angioplasty , balloon , catheter , circumflex , lumen (anatomy) , stent , retrospective cohort study , balloon catheter , surgery , radiology , artery
In a retrospective study of 40 patients, we evaluated the effectiveness of the new 5 Fr 0.058″ lumen diameter guiding catheter in routine PTCA. A total of 54 balloon angioplasties were performed. The mean age was 62.1 ± 12.8 years, with 71% men. The artery dilated was the LAD in 50%, the RCA in 37%, and the circumflex in 13%. Sixty percent of the lesions dilated were proximal lesions, with only 25% defined as distal lesions. Significant calcifications were present in 20% of the lesions. Stents were implanted in 96%, and mean stent length was 14.0 mm, ranging from 8 to 24 mm. Mean balloon diameter was 2.7 mm, ranging from 2.0 to 3.5 mm. The procedure was a success in 95%, with only two failures. No other complications occurred. We concluded that the 0.058″ 5 Fr guiding catheter could be suitable in the majority of noncomplex, selected PTCA cases. However, limitations and advantages over the standard 6 Fr technique are yet to be defined. Cathet. Cardiovasc. Intervent. 51:107–109, 2000. © 2000 Wiley‐Liss, Inc.