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The use of multiple coronary guidewires to occupy secondary branch vessels and facilitate PCI of a complex aneurysmal stenosis
Author(s) -
Pulukurthy Satyauardhan,
Carter Andrew J.
Publication year - 2006
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/ccd.20650
Subject(s) - medicine , conventional pci , stenosis , timi , stent , circumflex , revascularization , lesion , radiology , cardiology , percutaneous coronary intervention , surgery , artery , myocardial infarction
Percutaneous revascularization of complex coronary stenosis is dependent on establishing suitable guidewire position in the vascular bed distal to the lesion. We report the use of multiple 0.0014″ coronary guidewires to occupy unintended branch vessels and to facilitate PCI of a high‐grade left circumflex obtuse marginal branch lesion with post‐stenotic aneurysmal dilation of the vessel and multiple branch vessels. This technique enabled successful placement of a nitinol hydrophilic‐coated wire into the distal vascular bed beyond the region of obstruction followed by placement of a drug‐eluting stent with restoration of luminal dimensions and TIMI‐3 angiographic flow. © 2006 Wiley‐Liss, Inc.