Dual guide catheter technique for treating native coronary artery lesions through tortuous internal mammary grafts: separating equipment delivery from target lesion visualization

Christopher Lichtenwalter; Subhash Banerjee; Emmanouil S Brilakis

Dual guide catheter technique for treating native coronary artery lesions through tortuous internal mammary grafts: separating equipment delivery from target lesion visualization

J Invasive Cardiol. 2010 May;22(5):E78-81.

Authors

Christopher Lichtenwalter¹, Subhash Banerjee, Emmanouil S Brilakis

Affiliation

¹ Dallas VA Medical Center (111A), 4500 South Lancaster Road, Dallas, TX 75216, USA. [email protected]

PMID: 20440050

Abstract

Attempts to wire and stent a native coronary artery lesion through a tortuous internal mammary graft can result in graft occlusion, ischemia, and inability to visualize the distal lesion. We report three cases in which treatment of such lesions was successfully completed using two guiding catheters, one of which was used for lesion visualization and one for equipment delivery.

Publication types

Case Reports

MeSH terms

Angina, Unstable / diagnostic imaging
Angina, Unstable / therapy*
Angioplasty, Balloon, Coronary / instrumentation*
Angioplasty, Balloon, Coronary / methods*
Coronary Angiography
Coronary Artery Bypass
Humans
Male
Mammary Arteries* / transplantation
Middle Aged
Myocardial Ischemia / diagnostic imaging
Myocardial Ischemia / therapy*
Postoperative Complications / therapy*
Severity of Illness Index