Relief of pseudostenosis using the transit exchange catheter.
Pseudostenosis is a generally benign complication of percutaneous coronary intervention that is caused by the mechanical deformation of a tortuous artery by the guidewire. We describe two cases of a tortuous right coronary artery in which pseudostenosis was relieved by placing a Transit exchange catheter (Cordis) distally and subsequently removing the guidewire. This technique safely confirmed the diagnosis of pseudostenosis without losing guidewire position or requiring additional wires and balloons.
Fortuin
F David
FD
Division of Cardiology, Mayo Clinic Scottsdale, Clinic Hospital 1st Floor, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA. fortuin.david@mayo.edu
Sweeney
John P
JP
Lee
Richard W
RW
D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D006328:Cardiac Catheterization / Q000295:instrumentation; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass / Q000009:adverse effects; D023903:Coronary Restenosis / Q000000981:diagnostic imaging* / Q000209:etiology; D023921:Coronary Stenosis / Q000601:surgery; D006801:Humans; D008297:Male