Document Detail

Modified mother-child technique for selective cannulation of complex take-off left coronary artery.
MedLine Citation:
PMID:  20527712     Owner:  NLM     Status:  MEDLINE    
An 85-year-old male patient, with long-standing hypertension, was admitted to our hospital for a late inferior myocardial infarction. An elective coronary angiogram was performed, but due to severe iliac artery tortuosity, thoracic aortic dilatation, high left coronary artery take-off, and separated origin of the left descending coronary artery and circumflex, selective cannulation with different catheter shapes was not possible. Thus, we decided to utilize a modified mother-child technique by cutting the first 10 cm from the hub of a conventional 7 F Judkins left 4 guiding catheter and inserting it into a 7 F valved sheath. Then, we introduced a conventional 6 F Amplatz Left 2 diagnostic catheter inside it. In this way, we were able to easily reach both separate ostia and to perform complete left coronary angiography. The technique we described herewith could represent a valid solution to allow utilization of standard coronary catheters with different shapes commercially available in cases of complex coronary artery origin.
Daniel E Monopoli; Luigi Politi; Giuseppe M Sangiorgi; Maria G Modena
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  11     ISSN:  1558-2035     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-07     Completed Date:  2010-09-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  514-6     Citation Subset:  IM    
Cardiology Department, Policlinico University Hospital, Modena, Italy.
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MeSH Terms
Aged, 80 and over
Coronary Angiography / instrumentation,  methods*
Coronary Vessels / pathology*
Equipment Design
Heart Catheterization / instrumentation,  methods*
Myocardial Infarction / radiography*

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