Successful transluminal coronary angioplasty facilitated only by guidewire support.
We describe a case where extreme tortuosity in the patient's iliac arterial system precluded the manipulation and therefore engagement of 8 Fr guiding catheters with our target vessel. After diagnostic coronary angiography was performed with 6 Fr catheters, successful balloon angioplasty was negotiated over a stiff guidewire without guiding catheter support. Balloon dilatation of the ostial stenosis enabled subsequent engagement with 8 Fr guiding catheter and successful stent delivery.
Chu
T N
TN
Department of Medicine, Rochester General Hospital, New York 14621, USA.
Ong
L S
LS
D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D002404:Catheterization; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D015607:Stents