Resection of guide catheter fragments during coronary atherectomy in aorto-ostial lesions: a note of caution.
Angioplasty of coronary aorto-ostial lesions is considered to be troublesome with decreased acute and long-term results and high complication rates. We report a patient with an ostial right coronary artery lesion which was treated after failed PTCA with directional atherectomy as a rescue intervention. After a favorable angiographic and clinical outcome, plastic material was found in the AtheroCath's housing due to resection of the tip of the guide catheter.
Bauriedel
G
G
Department of Internal Medicine I, Klinikum Grosshadern, University of Munich, Federal Republic of Germany.
Höfling
B
B
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D017225:Atherectomy, Coronary; D006328:Cardiac Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D017211:Treatment Failure