Document Detail


Use of monorail PTCA balloon catheter for local drug delivery.
MedLine Citation:
PMID:  17297192     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the use of monorail coronary balloon as an infusion catheter to give bailout abciximab selectively into the site of stent thrombosis as an adjunct to plain old balloon angioplasty (POBA) in a patient of subacute stent thrombosis of the left anterior descending coronary artery. The balloon component (polyamide material) of the monorail balloon catheter was shaved off the catheter so that abciximab injected through the balloon port of the catheter exited out the shaft of the balloon catheter at the site from where the balloon material was shaved off. We believe that selective infusion with abciximab along with POBA established antegrade flow and relieved the patient's ischemia. In the absence of essential hardware to give intracoronary drugs in an emergency situation, one may employ our technique of infusion through a monorail balloon catheter after shaving the balloon component from the catheter.
Authors:
Vijay Trehan; Girish M Nair; Mohit D Gupta
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  19     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-02-13     Completed Date:  2007-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E23-6     Citation Subset:  IM    
Affiliation:
Department of Cardiology, G.B. Pant Hospital and Maulana Azad Medical College, New Delhi, India.
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris / physiopathology,  radiography
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects,  instrumentation
Antibodies, Monoclonal / administration & dosage*
Catheterization*
Coronary Angiography
Coronary Circulation
Coronary Restenosis / drug therapy*,  radiography
Coronary Stenosis / radiography,  therapy*
Drug Delivery Systems / instrumentation
Follow-Up Studies
Humans
Immunoglobulin Fab Fragments / administration & dosage*
Infusions, Intra-Arterial
Male
Middle Aged
Risk Assessment
Stents / adverse effects*
Treatment Outcome
Vascular Patency / physiology
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/Immunoglobulin Fab Fragments; 143653-53-6/abciximab

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


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