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Mother-and-child technique using 4-Fr inner catheter for stent delivery during provisional stenting

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Abstract

Provisional stenting is the most common strategy in the treatment of bifurcated lesions. However, such a situation as the failure in additional stent deployment to the side branch through the stent strut is occasionally encountered. In this paper, we report on two cases, in which we managed to successfully cross an additional stent to the angulated side branch through the stent strut using the four-in-six system after failed attempts using conventional techniques. This system will allow us to perform provisional stenting more easily.

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References

  1. Colombo A, Moses JW, Morice MC, Ludwig J, Holmes DR Jr, Spanos V, et al. Randomized study to evaluate sirolimus-eluting stents implanted at coronary bifurcation lesions. Circulation. 2004;109:1244–9.

    Article  PubMed  Google Scholar 

  2. Hoye A, Iakovou I, Ge L, van Mieghem CA, Ong AT, Cosgrave J, et al. Long-term outcomes after stenting of bifurcation lesions with the “crush” technique: predictors of an adverse outcome. J Am Coll Cardiol. 2006;47:1949–58.

    Article  PubMed  Google Scholar 

  3. Mehta S, Margolis JR, Traktman M, Kramer B, Trautwein R, Gasso J, et al. Voda guiding catheter is superior to amplatz guiding catheter for performing left circumflex PTCA. J Invasive Cardiol. 1994;6:229–33.

    PubMed  CAS  Google Scholar 

  4. Abhaichand RK, Lefevre T, Louvard Y, Morice MC. Amplatzing a 6 Fr Judkins right guiding catheter for increased success in complex right coronary artery anatomy. Catheter Cardiovasc Interv. 2001;53:405–9.

    Article  PubMed  CAS  Google Scholar 

  5. Bartorelli AL, Lavarra F, Trabattoni D, Fabbiocchi F, Loaldi A, Galli S, et al. Successful stent delivery with deep seating of 6 French guiding catheters in difficult coronary anatomy. Catheter Cardiovasc Interv. 1999;48:279–84.

    Article  PubMed  CAS  Google Scholar 

  6. Saucedo JF, Muller DW, Moscucci M. Facilitated advancement of the Palmaz–Schatz stent delivery system with the use of an adjacent 0.018″ stiff wire. Cathet Cardiovasc Diagn. 1996;39:106–10.

    Article  PubMed  CAS  Google Scholar 

  7. Fujita S, Tamai H, Kyo E, Kosuga K, Hata T, Okada M, et al. New technique for superior guiding catheter support during advancement of a balloon in coronary angioplasty: the anchor technique. Catheter Cardiovasc Interv. 2003;59:482–8.

    Article  PubMed  Google Scholar 

  8. Takahashi S, Saito S, Tanaka S, Miyashita Y, Shiono T, Arai F, et al. New method to increase a backup support of a 6 French guiding coronary catheter. Catheter Cardiovasc Interv. 2004;63:452–6.

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors thank Mr. Tsutomu WATANABE for his graphic image work.

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Authors and Affiliations

  1. The Heart Center of Sapporo Higashi Tokushukai Hospital, 3-1 North-33, East-14, Higashi Ward, Sapporo, 065-0033, Japan

    Daisuke Hachinohe, Shigeru Saito, Tomoyuki Tani & Seiji Yamazaki

Authors
  1. Daisuke Hachinohe
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  2. Shigeru Saito
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  3. Tomoyuki Tani
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  4. Seiji Yamazaki
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Correspondence to Daisuke Hachinohe.

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Hachinohe, D., Saito, S., Tani, T. et al. Mother-and-child technique using 4-Fr inner catheter for stent delivery during provisional stenting. Cardiovasc Interv and Ther 27, 105–109 (2012). https://doi.org/10.1007/s12928-011-0090-z

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  • DOI: https://doi.org/10.1007/s12928-011-0090-z

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