Difficult stent delivery: use of an aspiration catheter as a "sheath".
This is a report of a case in which stent delivery to the lesion location proved difficult because of severely calcified and tortuous proximal vasculature. Efforts to deliver a stent using a buddy wire, anchoring technique and five-in-seven guiding system were unsuccessful, whereas an aspiration catheter enabled stent delivery to the target lesion. This technique offers a potential alternative for cases in which some stent delivery methods are problematic. In addition, this technique may also prevent potential injury to drug-eluting polymer during stent delivery.
Ashikaga
Takashi
T
Department of Cardiology, Yokohama Minami Kyosai Hospital, Kanagawa, Japan. ashikaga-ind@umin.ac.jp
Nishizaki
Mitsuhiro
M
Yamawake
Noriyoshi
N
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D002317:Cardiovascular Agents / Q000008:administration & dosage; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D054855:Drug-Eluting Stents; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D020123:Sirolimus / Q000008:administration & dosage; D013396:Suction / Q000295:instrumentation*; D016896:Treatment Outcome
D002317:Cardiovascular Agents; D020123:Sirolimus