Turk Kardiyol Dern Ars. 2012; 40(7): 628-631 | DOI: 10.5543/tkda.2012.06978
Alternative method for accessing the target coronary artery in patients with difficult coronary anatomy: exchanging the diagnostic catheter with a guiding catheter
Ejder Kardeşoğlu1, Murat Yalçın1, Turgay Çelik2, Namık Özmen11Department of Cardiology, Gulhane Military Medical Academy, Haydarpasa Hospital, Istanbul, Turkey
2Department of Cardiology, Gülhane Military Medical Academy, Ankara, Turkey
We report a method of the placement of the guiding catheter in two cases in which the diagnostic catheter could be easily engaged to the target coronary arteries but not a guiding catheter, due to a distorted aortic sinus and an osteal subtotal occlusion, respectively. After engaging to the target coronary artery with a diagnostic catheter, a coronary guidewire was advanced through the diagnostic catheter, and exchanged with a guiding catheter over the guidewires. The procedures were completed with success.
Keywords: Angioplasty, transluminal, percutaneous coronary, heart catheterization/instrumentation/methods; coronary angiography; coronary stenosis/therapy
How to cite this article
Ejder Kardeşoğlu, Murat Yalçın, Turgay Çelik, Namık Özmen. Alternative method for accessing the target coronary artery in patients with difficult coronary anatomy: exchanging the diagnostic catheter with a guiding catheter. Turk Kardiyol Dern Ars. 2012; 40(7): 628-631
Corresponding Author: Ejder Kardeşoğlu, Türkiye
Manuscript Language: English