Document Detail

Usefulness and safety of the GuideLiner catheter to enhance intubation and support of guide catheters: insights from the Twente GuideLiner registry.
MedLine Citation:
PMID:  22829509     Owner:  NLM     Status:  In-Data-Review    
Aims: Optimal ostial seating and adequate back-up of guide catheters are required for challenging percutaneous coronary interventions (PCI). The GuideLiner™ (GL) (Vascular Solutions Inc., Minneapolis, MN, USA) is a guide catheter extension system that provides active back-up support by deep coronary intubation. We aimed to assess feasibility and safety of GL-use in routine clinical practice. Methods and results: We prospectively recorded patient and procedural details, technical success, and in-hospital outcome of 65 consecutive patients undergoing "5-in-6" Fr GL-facilitated PCI of 70 target vessels. The GL was mainly used for PCI of complex coronary lesions: 97% (68/70) had American Heart Association/American College of Cardiology (AHA/ACC) lesion types B2/C; 53% (37/70) were distally located; and 23% (17/70) were heavily calcified. Indications were to increase back-up of the guide and facilitate stent delivery (59%; 41/70), achievement of coaxial alignment of the guide catheter (29%; 20/70), and selective contrast injections (13%; 9/70). Device success rate was 93% (65/70). There were no major complications and two minor complications managed without clinical sequelae: one air embolism and one stent dislodgement. Conclusions: GL-use resulted in increased back-up and guide catheter alignment for stent delivery in unfavourable tortuous coronary anatomies and complex, heavily calcified, and often distally located lesions, which otherwise may have been considered unsuitable for PCI. Procedural success rate was high and there were no major complications.
Frits H A F de Man; Kenneth Tandjung; Marc Hartmann; K Gert van Houwelingen; Martin G Stoel; Hans W Louwerenburg; Mounir W Z Basalus; Hanim Sen; Marije M Löwik; Clemens von Birgelen
Related Documents :
21905849 - Factors affecting operative time during percutaneous nephrolithotomy: our experience wi...
22368639 - Surgical treatment of aortic coarctation.
25276599 - The pursuit of a cholesteatoma by harvey cushing: staged approach to a complex skull ba...
22298229 - Review of inhaled nitric oxide in the pediatric cardiac surgery setting.
22644069 - The utility of interventional pulmonary procedures in liberating patients with malignan...
22105529 - The central vein access port and catheter in outpatient chemotherapy for colorectal can...
10688039 - Hydro-jet assisted laparoscopic partial nephrectomy: initial experience in a porcine mo...
19387529 - Safety of combined resection of the middle hepatic artery in right hemihepatectomy for ...
12841909 - Laparoscopic adjustable gastric banding with duodenal switch for morbid obesity: techni...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology     Volume:  8     ISSN:  1969-6213     ISO Abbreviation:  EuroIntervention     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-07-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101251040     Medline TA:  EuroIntervention     Country:  France    
Other Details:
Languages:  eng     Pagination:  336-44     Citation Subset:  IM    
Department of Cardiology, Thoraxcentrum Twente, Enschede, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  SPIRIT Women, evaluation of the safety and efficacy of the XIENCE V everolimus-eluting stent system ...
Next Document:  PFO closure with the Premere PFO closure device: acute results and follow-up of 263 patients.