| Modified mother-child technique for selective cannulation of complex take-off left coronary artery. | |
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MedLine Citation:
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PMID: 20527712 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Daniel E Monopoli; Luigi Politi; Giuseppe M Sangiorgi; Maria G Modena |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cardiovascular medicine (Hagerstown, Md.) Volume: 11 ISSN: 1558-2035 ISO Abbreviation: J Cardiovasc Med (Hagerstown) Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-07 Completed Date: 2010-09-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101259752 Medline TA: J Cardiovasc Med (Hagerstown) Country: United States |
Other Details:
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Languages: eng Pagination: 514-6 Citation Subset: IM |
Affiliation:
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Cardiology Department, Policlinico University Hospital, Modena, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Coronary Angiography / instrumentation, methods* Coronary Vessels / pathology* Equipment Design Heart Catheterization / instrumentation, methods* Humans Male Myocardial Infarction / radiography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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