title: Use of the venture wire-control catheter for accessing side branches during provisional stenting: an option for bifurcations with an unfavorable anatomy.
abstract: We report our experience with the Venture wire-control catheter in 20 patients with bifurcation lesions in which it was impossible to access the side branch using conventional techniques. This device was always used as a last resort and was employed during different stages in the treatment of the bifurcation lesions (i.e. initially, after stenting of the main vessel or both). In 17 patients (85%), use of the Venture catheter resulted in the success of the procedure. Only one complication associated with a monorail catheter was recorded. It was resolved successfully. One patient died from heart failure 10 days after the procedure and two patients, in whom it was impossible to access the side branch, had non-Q-wave myocardial infarctions. In conclusion, the Venture catheter was effective and safe, and enabled the side branches of complex bifurcation lesions to be accessed.
authors.affiliation: Servicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, España. soledad.ojeda18@gmail.com
authors.forename: Soledad
authors.initials: S
authors.lastname: Ojeda
authors.forename: Manuel
authors.initials: M
authors.lastname: Pan
authors.forename: Francisco
authors.initials: F
authors.lastname: Mazuelos
authors.forename: Miguel
authors.initials: M
authors.lastname: Romero
authors.forename: José
authors.initials: J
authors.lastname: Segura
authors.forename: Djordje
authors.initials: D
authors.lastname: Pavlovic
authors.forename: Manuel
authors.initials: M
authors.lastname: Crespín
authors.forename: José
authors.initials: J
authors.lastname: Suárez de Lezo
mesh_terms: D000368:Aged; D019917:Blood Vessel Prosthesis Implantation; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D057785:Catheters; D017023:Coronary Angiography; D003327:Coronary Disease / Q000473:pathology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology*; D015607:Stents; D016896:Treatment Outcome