Percutaneous coronary intervention in tortuous coronary arteries: associated complications and strategies to improve success.
Percutaneous intervention of tortuous coronary arteries can be challenging. We describe four cases that illustrate complications associated with coronary tortuosity (coronary dissection and stent loss) and strategies that can improve procedural success (such as use of soft delivery catheters, deep guide intubation, meticulous vessel preparation, and use of short, thin-strut stents).
Saeed
Bilal
B
Division of Cardiovascular Diseases, University of Texas Southwestern Medical School, Dallas, Texas 75216, USA.
Banerjee
Subhash
S
Brilakis
Emmanouil S
ES
D000368:Aged; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011183:Postoperative Complications; D016896:Treatment Outcome