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Double guide double wrist 5F left coronary artery transradial percutaneous coronary intervention and the X-Kiss technique.

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Dangoisse, Vincent [UCL] Schröder, Erwin [UNamur] Hanet, Claude [UCL] Guedes, Antoine [UCL] Samir, Pancholy

Percutaneous coronary intervention for bifurcated anatomy, particularly at the proximal left coronary artery site, requires guide catheters (GC) of at least 6 french and preferably larger in diameter. We describe a new trans-radial approach more suitable for small artery size: the simultaneous use of both radial arteries for double cannulation of the LMCA with 5F GC: each GC will target either the LM/LAD or the LM/CX artery (or LM-LAD/LM-LAD-1st diagonal branch) stenoses. The technique successfully was applied to 5 cases. When the technique was used for distal left main coronary artery stenoses (3 cases), a special crogss-like configuration obtained when guide catheters, coronary wires and balloons kissed was observed.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès interdit
Publication date 2017
Language Anglais
Journal information "Acute Cardiac Care" - Vol. 18, no. 3, p. 45-42 (2016)
Peer reviewed yes
Publisher Informa Healthcare ((United Kingdom) London)
issn 1748-2941
e-issn 1748-295X
Publication status Publié
Affiliations UCL - (MGD) Service de cardiologie
UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire
UCL - SSS/IRSS - Institut de recherche santé et société
Keywords Distal unprotected LMCA disease ; LCA percutaneous coronary intervention ; kissing-balloon technique ; slender technique ; transradial approach
Links
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Bibliographic reference Dangoisse, Vincent ; Schröder, Erwin ; Hanet, Claude ; Guedes, Antoine ; Samir, Pancholy. Double guide double wrist 5F left coronary artery transradial percutaneous coronary intervention and the X-Kiss technique.. In: Acute Cardiac Care, Vol. 18, no. 3, p. 45-42 (2016)
Permanent URL http://hdl.handle.net/2078.1/190071