Bail-out coronary stenting in an extremely tortuous right coronary artery with the Palmaz-Schatz stent and Teleguide sheath.
Significant vessel tortuosity is a relative contraindication to the use of the Palmaz-Schatz coronary stent for fear of stent displacement during delivery. We describe a patient with unstable angina in whom conventional coronary angioplasty in an extremely tortuous right coronary artery resulted in an occlusive dissection. Emergency bypass surgery was avoided by the successful placement of a protected Palmaz-Schatz stent using a 5F Teleguide sheath.
Foran
J P
JP
Regional Cardiac Unit, Brook Hospital, London, England.
Nordrehaug
J E
JE
Xynopoulos
G
G
Wainwright
R J
RJ
D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D006328:Cardiac Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents