Document Detail

Venture wire control catheter in percutaneous treatment of complex coronary bifurcation. A case report.
MedLine Citation:
PMID:  18319704     Owner:  NLM     Status:  MEDLINE    
We present a case report of a man with atherosclerotic involvement of a left main trifurcation treated by the Venture wire control catheter. The patient was submitted to primary percutaneous transluminal coronary angioplasty (PTCA) in a primary center for acute occlusion of the left anterior descending artery, then he was transferred to our tertiary center to perform left main trifurcation revascularization that was unsuccessful by traditional approach. In our high volume center (operator >600 PTCA/year) as well, the attempts at crossing the lesion with a number of different guidewires failed because of the extreme angulation of the circumflex artery. At last, a successful attempt was reached using the Venture wire control, a low profile catheter with a tip that can be deflected up to 90 degrees . Once the lesion was crossed and wiring of other branches obtained, crush stenting of the left anterior descending artery and intermediate ramus and T-stent of the circumflex artery were performed with an optimal angiographic result.
A Lilli; S Vecchio; G Giuliani; L Consoli; G Spaziani; T Chechi; M Margheri
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Minerva cardioangiologica     Volume:  56     ISSN:  0026-4725     ISO Abbreviation:  Minerva Cardioangiol     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-05     Completed Date:  2008-07-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400725     Medline TA:  Minerva Cardioangiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  255-8     Citation Subset:  IM    
Unit of Cardiology and Invasive Cardiology 2, Careggi Hospital, Florence, Italy.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / instrumentation*,  methods*
Coronary Artery Disease / diagnosis,  therapy*
Coronary Stenosis / therapy*
Coronary Vessel Anomalies*
Middle Aged
Treatment Outcome

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

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