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.
Department of Internal Medicine I, Klinikum Grosshadern, University of Munich, Federal Republic of Germany.
G
G
Bauriedel
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B
Höfling
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