Usefulness and Safety of a Guide Catheter Extension System for the Percutaneous Treatment of Complex Coronary Lesions by a Transradial Approach

Objective: The aim of this study was to describe our initial experience with the GuideLiner (R) catheter (Vascular Solutions Inc.) in the transradial treatment of complex lesions. Materials and Methods: The clinical, angiographic and procedural data of percutaneous coronary interventions where Guide...

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Autores: García-Blas S, Núñez J, Mainar L, Miñana G, Bonanad C, Racugno P, Rodríguez JC, Moyano P, Sanchis J
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p1362
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/1362
Access Level:acceso abierto
Palabra clave:Coronary artery disease
Percutaneous coronary intervention
Transradial approach
GuideLiner (R) catheter
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spelling Usefulness and Safety of a Guide Catheter Extension System for the Percutaneous Treatment of Complex Coronary Lesions by a Transradial ApproachGarcía-Blas SNúñez JMainar LMiñana GBonanad CRacugno PRodríguez JCMoyano PSanchis JCoronary artery diseasePercutaneous coronary interventionTransradial approachGuideLiner (R) catheterObjective: The aim of this study was to describe our initial experience with the GuideLiner (R) catheter (Vascular Solutions Inc.) in the transradial treatment of complex lesions. Materials and Methods: The clinical, angiographic and procedural data of percutaneous coronary interventions where GuideLiner was used during 2013 were collected. The transradial approach was used in all cases. The indication for its use, efficacy and periprocedural complications were determined. Sixteen consecutive procedures (in 15 patients; 12 males and 3 females) were evaluated. The indication for the use of GuideLiner was a difficulty to advance and properly position a stent through a tortuous and/or calcified artery despite using high-support guide catheters or other useful techniques. Results: Of the 16 angiographic procedures, 14 (87.5%) were successful (stent deployment in 13 cases and a drug-eluting balloon in 1 case). Unsuccessful cases were a chronic total occlusion and a diffusely diseased left anterior descendant artery. A type B dissection of a proximal left circumflex artery was the only periprocedural complication. Conclusion: Use of the GuideLiner was an effective and safe technique for the percutaneous treatment of complex coronary lesions in which the adequate progress of angioplasty devices had failed. GuideLiner was particularly helpful when using the transradial approach. Only one minor complication was recorded. (C) 2014 S. Karger AG, BaselKARGER2015info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/1362MEDICAL PRINCIPLES AND PRACTICEISSN: 10117571ISSNe: 14230151reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p13622026-06-07T16:35:31Z
dc.title.none.fl_str_mv Usefulness and Safety of a Guide Catheter Extension System for the Percutaneous Treatment of Complex Coronary Lesions by a Transradial Approach
title Usefulness and Safety of a Guide Catheter Extension System for the Percutaneous Treatment of Complex Coronary Lesions by a Transradial Approach
spellingShingle Usefulness and Safety of a Guide Catheter Extension System for the Percutaneous Treatment of Complex Coronary Lesions by a Transradial Approach
García-Blas S
Coronary artery disease
Percutaneous coronary intervention
Transradial approach
GuideLiner (R) catheter
title_short Usefulness and Safety of a Guide Catheter Extension System for the Percutaneous Treatment of Complex Coronary Lesions by a Transradial Approach
title_full Usefulness and Safety of a Guide Catheter Extension System for the Percutaneous Treatment of Complex Coronary Lesions by a Transradial Approach
title_fullStr Usefulness and Safety of a Guide Catheter Extension System for the Percutaneous Treatment of Complex Coronary Lesions by a Transradial Approach
title_full_unstemmed Usefulness and Safety of a Guide Catheter Extension System for the Percutaneous Treatment of Complex Coronary Lesions by a Transradial Approach
title_sort Usefulness and Safety of a Guide Catheter Extension System for the Percutaneous Treatment of Complex Coronary Lesions by a Transradial Approach
dc.creator.none.fl_str_mv García-Blas S
Núñez J
Mainar L
Miñana G
Bonanad C
Racugno P
Rodríguez JC
Moyano P
Sanchis J
author García-Blas S
author_facet García-Blas S
Núñez J
Mainar L
Miñana G
Bonanad C
Racugno P
Rodríguez JC
Moyano P
Sanchis J
author_role author
author2 Núñez J
Mainar L
Miñana G
Bonanad C
Racugno P
Rodríguez JC
Moyano P
Sanchis J
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Coronary artery disease
Percutaneous coronary intervention
Transradial approach
GuideLiner (R) catheter
topic Coronary artery disease
Percutaneous coronary intervention
Transradial approach
GuideLiner (R) catheter
description Objective: The aim of this study was to describe our initial experience with the GuideLiner (R) catheter (Vascular Solutions Inc.) in the transradial treatment of complex lesions. Materials and Methods: The clinical, angiographic and procedural data of percutaneous coronary interventions where GuideLiner was used during 2013 were collected. The transradial approach was used in all cases. The indication for its use, efficacy and periprocedural complications were determined. Sixteen consecutive procedures (in 15 patients; 12 males and 3 females) were evaluated. The indication for the use of GuideLiner was a difficulty to advance and properly position a stent through a tortuous and/or calcified artery despite using high-support guide catheters or other useful techniques. Results: Of the 16 angiographic procedures, 14 (87.5%) were successful (stent deployment in 13 cases and a drug-eluting balloon in 1 case). Unsuccessful cases were a chronic total occlusion and a diffusely diseased left anterior descendant artery. A type B dissection of a proximal left circumflex artery was the only periprocedural complication. Conclusion: Use of the GuideLiner was an effective and safe technique for the percutaneous treatment of complex coronary lesions in which the adequate progress of angioplasty devices had failed. GuideLiner was particularly helpful when using the transradial approach. Only one minor complication was recorded. (C) 2014 S. Karger AG, Basel
publishDate 2015
dc.date.none.fl_str_mv 2015
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/1362
url https://incliva.portalinvestigacion.com/publicaciones/1362
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv KARGER
publisher.none.fl_str_mv KARGER
dc.source.none.fl_str_mv MEDICAL PRINCIPLES AND PRACTICE
ISSN: 10117571
ISSNe: 14230151
reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname:INCLIVA
instname_str INCLIVA
reponame_str r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
collection r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
repository.name.fl_str_mv
repository.mail.fl_str_mv
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