Unusual guidewire maneuver to enter an acute angulation during complex percutaneous transluminal coronary angioplasty.
Guidewire manipulation may be the deciding factor for success in percutaneous transluminal coronary angioplasty (PTCA) A case involving a complex lesion forming an acute angle within the left anterior descending (LAD) coronary artery, which precluded guidewire advancement, is presented. Successful dilatation was achieved after an unusual guidewire maneuver.
Avedissian
M G
MG
St. Luke's Episcopal Hospital, Texas Heart Institute, Houston.
Angelini
P
P
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods*; D003327:Coronary Disease / Q000473:pathology / Q000628:therapy*; D003331:Coronary Vessels / Q000473:pathology; D004548:Elasticity; D004867:Equipment Design; D006801:Humans; D008297:Male; D012399:Rotation