Experience with a double loop guiding catheter for angioplasty of the right coronary artery

Autor: M. I. H. El Gamal, Theodorus H. F. M. Relik, R. Michels, F.A. Bracke, J. J. R. M. Bonnier, L. M. van Gelder, S. El Biltagiu
Rok vydání: 1993
Předmět:
Zdroj: Catheterization and cardiovascular diagnosis. 30(1)
ISSN: 0098-6569
Popis: An 8 French (F) double loop guiding (DLG) catheter was developed for percutaneous transluminal coronary angioplasty (PTCA) of the right coronary artery (RCA) and tested in 80 patients: primary use in 59 patients, and after failure of an 8 F right Judkins guiding (RJG) catheter in 21 patients. Primary use resulted in stable intubation of RCA in 55 patients (93%), but PTCA was successful in 50 (91%). Five failures resulted from inability to cross or dilate the lesion. After failure of an 8 F RJG in 21 patients, successful stable intubation of RCA with a DLG was achieved in 19 patients (90%), but PTCA was successful in 17 patients (81%). Failure of RJGs in 21 patients resulted from inability to intubate the RCA in 12 patients, or inadequate back up support by the guiding in 9 patients. Conclusion: DLGs increased the success rate of PTCA of the RCA after failure of RJGs. © 1993 Wiiey-Liss, Inc.
Databáze: OpenAIRE