| A rapid, effective technique for retrograde crossing of valvular aortic stenosis using standard coronary catheters. | |
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MedLine Citation:
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PMID: 2208268 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J K Harrison; C J Davidson; H R Phillips; M B Harding; K B Kisslo; T M Bashore |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Catheterization and cardiovascular diagnosis Volume: 21 ISSN: 0098-6569 ISO Abbreviation: Cathet Cardiovasc Diagn Publication Date: 1990 Sep |
Date Detail:
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Created Date: 1990-11-14 Completed Date: 1990-11-14 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 7508512 Medline TA: Cathet Cardiovasc Diagn Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 51-4 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Duke University Medical Center, Durham, NC 27710. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiography / methods Aortic Valve Stenosis / diagnosis* Coronary Vessels Fluoroscopy Heart Catheterization / instrumentation, methods* Humans |
| Grant Support | |
ID/Acronym/Agency:
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5T32 HL07101-15/HL/NHLBI NIH HHS |
| Comments/Corrections | |
Comment In:
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Cathet Cardiovasc Diagn. 1991 Mar;22(3):236-7
[PMID:
2013089
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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