title: Seesaw double GuideLiner®catheter technique for a successful bail-out procedure from blow-out type coronary perforation.
abstract: We encountered a case of blow-out type coronary perforation at the calcified stenosis of left anterior descending artery. First, we started immediate balloon tamponade through the initial guiding catheter (GC) with a GuideLiner®catheter. Next, we introduced a second GC with a GuideLiner®catheter and successfully deployed a covered stent. Two sets of the GC with GuideLiner®catheter facilitated us to simultaneously perform temporary hemostasis with balloon tamponade and rapid delivery of a covered stent. To alternately manipulate the GuideLiner®catheters, back and forth with seesaw-like motion enabled us to minimize the interruption of balloon tamponade.
authors: Department of Cardiovascular Medicine, Nantan General Hospital, 25 Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan. takeshi.sugimoto15@gmail.com.
authors: Takeshi
authors: T
authors: Sugimoto
authors: Department of Cardiovascular Medicine, Nantan General Hospital, 25 Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan.
authors: Tetsuya
authors: T
authors: Nomura
authors: Department of Cardiovascular Medicine, Nantan General Hospital, 25 Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan.
authors: Daisuke
authors: D
authors: Miyawaki
authors: Department of Cardiovascular Medicine, Nantan General Hospital, 25 Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan.
authors: Taku
authors: T
authors: Kato
authors: Department of Cardiovascular Medicine, Nantan General Hospital, 25 Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan.
authors: Natsuya
authors: N
authors: Keira
authors: Department of Cardiovascular Medicine, Nantan General Hospital, 25 Yagi-Ueno, Yagi-cho, Nantan, Kyoto, 629-0197, Japan.
authors: Tetsuya
authors: T
authors: Tatsumi
mesh_terms: D000369:Aged, 80 and over; D021721:Balloon Occlusion; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D006488:Hemostasis, Surgical; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods*; D020519:Pericardiocentesis; D019919:Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D015607:Stents; D061205:Vascular Calcification / Q000473:pathology; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*
keywords: Bail-out; Coronary perforation; Dual guiding catheter; Seesaw GuideLiner® technique