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Successful delivery of polytetrafluoroethylene-covered stent using rapid exchange guide extension catheter

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Abstract

Deployment of polytetrafluoroethylene (PTFE)-covered stent is a useful technique to seal coronary perforation. However, the high profile and low flexibility compromise its deliverability. To facilitate stent delivery, a guide extension catheter (GuideLiner™ catheter) through a 6 Fr guiding catheter has been used. This case report describes a successful deployment of a PTFE-covered stent using a 6 Fr GuideLiner catheter to seal coronary perforation.

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References

  1. Ellis SG, Ajluni S, Arnold AZ, Popma JJ, Bittl JA, Eiqler NL, et al. Increased coronary perforation in the new device era: incidence, classification, management, and outcome. Circulation. 1994;90:2725–30.

    Article  CAS  PubMed  Google Scholar 

  2. Briguori C, Nishida T, Anzuini A, Di Mario C, Grube E, Colombo A. Emergency polytetrafluoroethylene-covered stent implantation to treat coronary ruptures. Circulation. 2000;102:3028–31.

    Article  CAS  PubMed  Google Scholar 

  3. Gunning MG, Williams IL, Jewitt DE, Shah AM, Wainwright RJ, Thomus MR. Coronary artery perforation during percutaneous intervention: incidence and outcome. Heart. 2002;88:495–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Shirakabe A, Takano H, Nakamura S, Kikuchi A, Sasaki A, Yamamoto E, et al. Coronary perforation during percutaneous coronary intervention. Int Heart J. 2007;48:1–9.

    Article  PubMed  Google Scholar 

  5. Javaid A, Buch AN, Satler LF, Kent KM, Suddath WO, Lindsay J Jr, et al. Management and outcomes of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol. 2006;98:911–4.

    Article  PubMed  Google Scholar 

  6. Hendry C, Fraser D, Eichhofer J, Mamas MA, Fath-Ordoubadi F, El-Omar M, et al. Coronary perforation in the drug-eluting stent era: incidence, risk factors, management and outcome: the UK experience. Eurointervention. 2012;8:79–86.

    Article  PubMed  Google Scholar 

  7. Taniguchi N, Takahashi A, Mizuguchi Y, Yamada T, Hata T, Nakajima S. Successful recanalization of a left circumflex artery jailed with a polytetrafluoroethylene-covered stent after coronary perforation during stent implantation in the left main bifurcation. Cardiovasc Interv Ther. 2015;30:78–81.

    Article  PubMed  Google Scholar 

  8. Kawai Y, Kitayama M, Akao H, Motoyama A, Tsuchiya T, Kajinami K. A case of coronary rupture and pseudoaneurysm formation after fracture of implanted paclitaxel-eluting stents. Cardiovasc Interv Ther. 2015 (Epub ahead of print).

  9. Romaguera R, Waksman R. Covered stents for coronary perforations: is there enough evidence? Catheter Cardiovasc Interv. 2011;78:246–53 (aaaa).

    Article  PubMed  Google Scholar 

  10. Fujimoto Y, Matsudo Y, Kobayashi Y. Successful delivery of polytetrafluoroethylene-covered stent through 5 French guiding catheter. J Invasive Cardiol. 2012;24:E199–201.

    PubMed  Google Scholar 

  11. Cola C, Miranda F, Vaguerizo B, Fantuzzi A, Bruguera J. The GuideLiner™ catheter for stent delivery in difficult cases: tips and tricks. J Interv Cardiol. 2011;24:450–61.

    Article  PubMed  Google Scholar 

  12. De Man FH, Tandjung K, Hartmann M, van Houwelingen KG, Stoel MG, Louwerenbrug HW, et al. Usefulness and safety of the GuideLiner catheter to enhance intubation and support of guide catheters: insights from the Twente GuideLiner registry. Eurointervention. 2012;8:336–44.

    Article  PubMed  Google Scholar 

  13. Kwan TW, Diwan R, Ratclife JA, James D, Patri R, Huang Y, et al. The utility of extension catheters in transradial percutaneous coronary intervention. J Invasive Cardiol. 2015;27:28–32.

    PubMed  Google Scholar 

  14. Rao U, Gorog D, Suzgula J, Kumar S, Stone C, Kukreja N. The GuideLiner “child” catheter. Eurointervention. 2010;6:277–9.

    Article  PubMed  Google Scholar 

  15. Chan PH, Alegria-Barrero E, Foin N, Paulo Lindsay AC, Viceconte N, et al. Extended use of the GuideLiner in complex coronary interventions. Eurointervention. 2015;3:325–35.

    Article  Google Scholar 

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Correspondence to Yoshihide Fujimoto.

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Fujimoto, Y., Tonoike, N. & Kobayashi, Y. Successful delivery of polytetrafluoroethylene-covered stent using rapid exchange guide extension catheter. Cardiovasc Interv and Ther 32, 142–145 (2017). https://doi.org/10.1007/s12928-016-0378-0

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  • DOI: https://doi.org/10.1007/s12928-016-0378-0

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