Document Detail


"Pseudo-narrowing" during right coronary angioplasty: how to diagnose correctly without withdrawing the guidewire.
MedLine Citation:
PMID:  8118857     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The straightening of a sinuous proximal segment of a coronary artery using the stiffness of the guidewire has recently been recognized as likely to cause false coronary lesions. The accurate diagnosis between a true dissection and a pseudo-lesion is usually only done once all intra-coronary material has been removed into the guiding catheter. Such a manoeuvre may prove dangerous in case of dissection. We propose to demonstrate that it is possible to diagnose this phenomenon while leaving the guidewire within the coronary artery, and withdrawing it progressively until its floppy segment rests equally on either side of the suspect lesion.
Authors:
Y Chalet; B Chevalier; S el Hadad; P Guyon; B Lancelin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  31     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1994 Jan 
Date Detail:
Created Date:  1994-04-06     Completed Date:  1994-04-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  37-40     Citation Subset:  IM    
Affiliation:
Department of Interventional Cardiology, Marie Lannelongue Hospital, Le Plessis Robinson, France.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects,  methods*
Coronary Artery Disease / therapy*
Coronary Vessels / injuries*
Heart Catheterization / methods*
Humans
Intraoperative Complications / diagnosis*
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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