Chronic total occlusion--use of a 5 French guiding catheter in a 6 French guiding catheter.
We present a case of a chronic total occlusion that required the use of a 5 Fr in a 6 Fr guiding catheter. The 5 Fr in a 6 Fr guiding catheter method allows ultra-deep seating to increase backup support and assist stent delivery. This technique was paramount in this case, as there were technical challenges with failure to track drug-eluting stents due to vessel tortuosity and lack of support.
Cardiology Department, Lister Hospital, East and North Hertfordshire NHS Trust, Coreys Mill Lane, Stevenage, United Kingdom SG1 4AB. draadil@yahoo.co.uk
Aadil
A
Shaukat
M
M
Al-Bustami
Paul J L
PJ
Ong
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation* / Q000379:methods; D000077144:Clopidogrel; D054059:Coronary Occlusion / Q000628:therapy*; D023903:Coronary Restenosis / Q000628:therapy; D003331:Coronary Vessels / Q000473:pathology*; D006801:Humans; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D015607:Stents; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use
D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine