Use of femoral artery guiding catheters via the left brachial artery for transluminal coronary angioplasty.
Percutaneous transluminal coronary angioplasty using the right brachial artery has been described using either a cutdown and arteriotomy or a percutaneous entry. Each method requires the use of a brachial artery guiding catheter (Stertzer guiding catheter; (USCI). This communication reports the use of percutaneous entry of the left brachial artery and coronary angioplasty performed with femoral guiding catheters. In this manner coronary angioplasty has been successfully performed in 42 of 47 patients (90%) without major complications.
Spaccavento
L J
LJ
Cardiology Service/SGHMMC, Wilford Hall USAF Medical Center, Lackland AFB, TX 78236-5300.
Breisblatt
W M
WM
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation* / Q000379:methods; D001916:Brachial Artery; D002404:Catheterization / Q000295:instrumentation*; D003327:Coronary Disease / Q000628:therapy*; D005263:Femoral Artery; D006801:Humans; D008297:Male