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 |
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Rok vydání: | 1993 |
Předmět: |
Double loop
medicine.medical_specialty Vascular disease business.industry medicine.medical_treatment Coronary Disease Equipment Design medicine.disease Surgery Radiography Stenosis Catheter Angioplasty Right coronary artery medicine.artery medicine Guiding catheter Intubation Humans Treatment Failure Angioplasty Balloon Coronary Cardiology and Cardiovascular Medicine business |
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 |
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