1. Seesaw double GuideLiner® catheter technique for a successful bail-out procedure from blow-out type coronary perforation
- Author
-
Tetsuya Tatsumi, Taku Kato, Takeshi Sugimoto, Natsuya Keira, Tetsuya Nomura, and Daisuke Miyawaki
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Balloon tamponade ,medicine.medical_treatment ,Perforation (oil well) ,Interventional radiology ,General Medicine ,030204 cardiovascular system & hematology ,medicine.disease ,Blow out ,Surgery ,03 medical and health sciences ,Catheter ,Stenosis ,0302 clinical medicine ,medicine ,Guiding catheter ,Radiology, Nuclear Medicine and imaging ,030212 general & internal medicine ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Covered stent - Abstract
We encountered a case of blow-out type coronary perforation at the calcified stenosis of left anterior descending artery. First, we started immediate balloon tamponade through the initial guiding catheter (GC) with a GuideLiner® catheter. Next, we introduced a second GC with a GuideLiner® catheter and successfully deployed a covered stent. Two sets of the GC with GuideLiner® catheter facilitated us to simultaneously perform temporary hemostasis with balloon tamponade and rapid delivery of a covered stent. To alternately manipulate the GuideLiner® catheters, back and forth with seesaw-like motion enabled us to minimize the interruption of balloon tamponade.
- Published
- 2016