Document Detail

A rapid, effective technique for retrograde crossing of valvular aortic stenosis using standard coronary catheters.
MedLine Citation:
PMID:  2208268     Owner:  NLM     Status:  MEDLINE    
Retrograde crossing of valvular aortic stenosis can be challenging even to experienced angiographers. In 446 of 447 consecutive patients with aortic stenosis catheterized during the past 3 years, a technique using a standard Judkins right coronary catheter and a floppy straight tipped guide wire was successful in rapidly and efficiently crossing these pathologically distorted valves in retrograde fashion. Once the valve was crossed, the coronary catheter was replaced with a pigtail catheter for pressure and ventriculography. The majority of these valves required less than 2 min to cross using this technique. This method is valuable in limiting the time required for catheterization, thus helping to reduce procedure related morbidity in these oftimes critically ill patients.
J K Harrison; C J Davidson; H R Phillips; M B Harding; K B Kisslo; T M Bashore
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  21     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1990 Sep 
Date Detail:
Created Date:  1990-11-14     Completed Date:  1990-11-14     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  51-4     Citation Subset:  IM    
Department of Cardiology, Duke University Medical Center, Durham, NC 27710.
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MeSH Terms
Angiography / methods
Aortic Valve Stenosis / diagnosis*
Coronary Vessels
Heart Catheterization / instrumentation,  methods*
Grant Support
5T32 HL07101-15/HL/NHLBI NIH HHS
Comment In:
Cathet Cardiovasc Diagn. 1991 Mar;22(3):236-7   [PMID:  2013089 ]

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