Case 15: PCI Manual - Balloon undilatable
Автор: Manos Brilakis
Загружено: 2018-05-08
Просмотров: 9997
Описание: Challenging case of balloon undilatable right coronary artery lesion in patient who has had prior coronary bypass graft surgery. Wiring was challenging but was achieved using a microcatheter to support the wire. The lesion could not be dilated despite using high-pressure balloon inflations even with a buddy wire, but expanded with the Angiosculpt balloon. Stent delivery failed even through a guide catheter extension, but was sucessfully completed using the distal anchor technique. This case illustrates that challenges can be encountered at every step of a PCI procedure, but can be overcome but using a variety of equipment and techniques.
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