title: "Candy Cane" Guide Catheter Extension for Stent Delivery.
abstract: Stent delivery to a native coronary artery lesion located proximal to the anastomosis of a bypass graft can be challenging due to severe tortuosity. Guide catheter extensions, such as the GuideLiner, can facilitate equipment delivery. In the presented case, a 180° anastomotic bend in the saphenous vein graft resulted in several failed attempts at stent delivery. A 6 Fr guide catheter extension was then advanced through the extreme angulation at the SVG anastomosis using a distal-anchor technique and assuming a "candy cane" configuration, enabling stent delivery.
authors.forename: Theodoros I
authors.initials: TI
authors.lastname: Repanas
authors.forename: Georgios
authors.initials: G
authors.lastname: Christopoulos
authors.affiliation: VA North Texas Health Care System, Cardiology, 4500 South Lancaster Road, Dallas, TX 75216 USA. esbrilakis@gmail.com.
authors.forename: Emmanouil S
authors.initials: ES
authors.lastname: Brilakis
mesh_terms: D000368:Aged; D057785:Catheters; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D054855:Drug-Eluting Stents; D004867:Equipment Design; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation*