Open AccessTechniques to Overcome Difficulty in Device Deliverability to Lesion in Complex PCI
Author(s) -
Raman Chawla,
Wasim Ahamad,
Vivek Sharma
Publication year - 2020
Publication title -
current cardiology reviews
Language(s) - English
Resource type - Journals
eISSN - 1875-6557
pISSN - 1573-403X
DOI - 10.2174/1573403x15666191018105627
Subject(s) - conventional pci , medicine , percutaneous coronary intervention , coronary artery disease , revascularization , stent , lesion , backup , cardiology , radiology , surgery , myocardial infarction , computer science , database
Percutaneous Coronary Intervention (PCI) has revolutionized the management of Coronary Artery Disease and has become the preferred modality of revascularization in a majority of cases. Nevertheless, situations are encountered frequently where device deliverability to coronary lesions entails technical difficulties due to varied anatomies and lesional complexities like tortuosity, calcifications, length of lesions and vessel morphology. While continuous technological refinements are occurring in PCI hardware armamentarium and stent designs, a number of techniques and their modifications and variations have evolved to increase the applicability of PCI to difficult lesions. The present article envisages a thorough review of all aspects of improving successful device deliverability in complex PCI with prominent emphasis on increasing the backup support of Guide Catheters which is the primary factor of success in difficult coronary lesions.