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Percutaneous coronary intervention in TAVI: The “proboscis” catheter
Author(s) -
Mancone Massimo,
Pennacchi Mauro,
Sardella Gennaro
Publication year - 2013
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.24558
Subject(s) - medicine , ostium , catheter , prosthesis , percutaneous coronary intervention , stent , stenosis , cardiology , coronary angiography , percutaneous , surgery , artery , radiology , myocardial infarction
We report a case of an 81‐years‐old male, recently implanted with a Core Valve (CV) prosthesis and admitted to the ER for acute coronary syndrome. Coronary angiography revealed the patency of the coronary artery by‐pass grafts but was impossible to cannulate the left main “imprisoned” by the CV prosthesis struts. Aortography showed an excessive gap between the CV struts and the coronary ostium. To cross the CV struts, we developed a “proboscis” catheter by cutting away the proximal end of the 7F JL 4 catheter and putting inside the 5F Heartrail catheter. The following angiograms showed a critical stenosis in the proximal obtuse marginal (branch), successfully treated with a bare‐metal stent implantation. © 2012 Wiley Periodicals, Inc.