Document Detail


Triple wire technique for a bifurcation lesion and a subtotal occlusive lesion.
MedLine Citation:
PMID:  12499529     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a critical distal right coronary artery bifurcation lesion, the proximal course of the posterior descending artery was also subtotally occluded. The posterior descending artery gave rise to a small sidebranch just before the occlusion. In the subsequent revascularization procedure, the bifurcation lesion was double-wired. One wire was placed in the postero-lateral branch, and another wire was intended for placement in the posterior descending artery, but it repeatedly selected the sidebranch despite multiple shapings of the wire tip. While the second wire was deliberately kept in the sidebranch, a third wire was used and crossed the occlusive lesion without much difficulty. The second wire was then withdrawn and the revascularization procedure proceeded in the usual manner. The positioning of the second wire in the sidebranch significantly shortened the procedure.
Authors:
M H Jim; R H W Chan; S W L Lee
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  15     ISSN:  1042-3931     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2002-12-24     Completed Date:  2003-02-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  43-5     Citation Subset:  IM    
Affiliation:
Department of Medicine, Queen Mary Hospital, Pokfulam Road, Hong Kong.
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MeSH Terms
Descriptor/Qualifier:
Arterial Occlusive Diseases / radiography,  therapy*
Coronary Angiography
Coronary Disease / radiography,  therapy*
Humans
Male
Middle Aged
Radiography, Interventional / methods

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


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