Single interventional cardiologist resident within PCI cases undertaken and/or supervised by a The purpose of this article is to report theĮxperience of the GuideLiner catheter in 50 complex Was associated with high procedural success The cases in this series were transradial and theĪuthors concluded that the GuideLiner catheter Interventional cardiologists over an 8-month Twente GuideLiner registry performed by five have just reported their experience of 65 consecutive cases in the The GuideLiner catheter was relatively small case Until recently, the only published literature on Valve without disconnection, resulting in relatively Through the proximal guide catheter hemostatic Of balloons and/or stents within challengingĬoronary anatomy where conventional techniquesĭevice over its competitors is that it can be passed Guide catheter extension that is specifically designed to be deeply intubated into the targetĬoronary artery to permit safe and effective delivery The GuideLiner catheter is a soft-tipped, coaxial The Heartrail ® II catheter (Terumo Corporation, Of systems available including the GuideLiner ® catheter (Vascular Solutions, MN, USA) , Providing extra backup support without traumatizing To take up a distal position in the vessel, thus That led to the development of guide catheterĮxtensions whereby a smaller lumen ‘inner’ catheterĬan be advanced within the guide catheter Must be applied in view of the significant risk of To device delivery is encountered, but caution Guide catheter is often tempting when resistance Of the above techniques, deep seating of the Useful adjunctive techniques and devices, stentĭelivery failure is still encountered in approximatelyįailure, incomplete revascularization and poor rotational or laser atherectomy to effectivelyĭebulk calcific lesions prior to stent delivery Īnd newer, improved stent designs with better Guide catheter and provide more pushability The anchor balloon technique to steady the With the straightening out of tortuous vesselsĪnd improving guide catheter coaxiality Supportive guidewire (‘buddy wire’) to assist
Intubation of the target vessel an additional Problem including the use of: more supportiveĪnd aggressive guide catheters to facilitate deep Techniques have been adopted to overcome this Undergoing PCI is failure to deliver balloonsĪnd/or stents to the distal target lesion. In patients with complex coronary anatomy Must be equipped with the necessary toolsĪnd expertise to safely and effectively tackleĪ frequently occurring dilemma encountered Surgical revascularization present as daily challenges.Ī contemporary interventional cardiologist Population and/or those deemed unsuitable for That are now routinely referred and acceptedįor percutaneous coronary intervention (PCI).Ĭhronically occluded vessels, excessively tortuousĬoronary anatomy and severe calcific coronaryĭisease typically encountered in the elderly Meet the demand of increasingly complex cases Pharmacotheraputics have been necessary to Of new devices, adjunctive techniques and The past two decades have witnessed significantĪdvances in interventional cardiology. KeywordsĬoronary artery disease, coronary stents, GuideLiner ® catheter, percutaneous coronary intervention A contemporary interventional cardiologist must be equipped with the necessary tools and expertise to safely and effectively tackle these demanding cases. Chronically occluded vessels, excessively tortuous coronary anatomy and severe calcific coronary disease typically encountered in the elderly population and/or those deemed unsuitable for surgical revascularization present as daily challenges. Development of new devices, adjunctive techniques and pharmacotheraputics have been necessary to meet the demand of increasingly complex cases that are now routinely referred and accepted for percutaneous coronary intervention (PCI). The past two decades have witnessed significant advances in interventional cardiology. Nalyaka Sambu, Juan Fernandez, Nimit C Shah and Peter O’Kane *ĭorset Heart Centre, Royal Bournemouth Hospital, Bournemouth, BH7 7DX, UK Corresponding Author: Peter O’Kaneĭorset Heart Centre, Royal Bournemouth HospitalĮ-mail: peter.o' Abstract
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