Directional coronary atherectomy in a distal right coronary lesion using a shorter standard guide catheter.
An ulcerated and eccentric distal right coronary artery plaque was found in a 56-year-old male with post-infarction angina. The 100 cm length of present DVI (Devices for Vascular Intervention, Inc., Redwood City, CA) atherectomy guiding catheters limits the ability to reach many complex distal stenoses with the 125 cm Simpson Atherocath. After shortening the proximal portion of a standard DVI Judkins right guiding catheter without changing the distal contour, successful directional coronary atherectomy was performed.
Interventional Catheterization Laboratory, Fort Sanders Regional Medical Center, Knoxville, Tennessee.
M
M
Ayres
D017225:Atherectomy, Coronary / Q000295:instrumentation*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000601:surgery; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged