Document Detail

A novel method of PercuSurge distal protection in a five French guiding catheter without an Export aspiration catheter.
MedLine Citation:
PMID:  18398232     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: Although the PercuSurge (PS) system is an efficient distal protection device, it has several limitations such as significant occlusion time causing myocardial ischemia and requirement of a large 7 or 8 Fr guiding catheter (GC). To address these problems, we developed a new method of use for the PS system using a deeply-engaged 5 Fr GC as an aspiration catheter instead of the Export aspiration catheter. METHODS: We studied the initial feasibility and safety of 14 patients treated with a new PS procedure compared to 18 patients treated with the conventional method. RESULTS: Clinical and demographic characteristics were similar between the two patient groups. Device success rate was also similar. The new method using a 5 Fr GC without the Export aspiration catheter significantly reduced fluoroscopic time, total procedure time, occlusion time and in-hospital costs. CONCLUSIONS: This method may be an important alternative procedure that compensates for the disadvantages associated with the conventional use of the PS system by taking advantage of the flexibility and versatility of a 5 Fr GC.
Fuminobu Yoshimachi; Yuji Ikari; Takashi Matsukage; Motomaru Masutani; Yasuhiro Mori; Shigeru Saito; Ken Okumura
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  20     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-09     Completed Date:  2008-06-19     Revised Date:  2009-02-02    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  168-72     Citation Subset:  IM    
Department of Cardiology, Aomori Prefectural Central Hospital, 2-1-1 Higashi Tsukurimichi, Aomori City, 030-8553, Japan.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects,  instrumentation*,  methods
Coronary Artery Disease / therapy*
Feasibility Studies
Heart Catheterization / adverse effects,  instrumentation*,  methods
Middle Aged
Retrospective Studies
Comment In:
J Invasive Cardiol. 2008 Aug;20(8):426-7; author reply 427   [PMID:  18763386 ]

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

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