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    
Abstract/OtherAbstract:
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.
Authors:
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    
Affiliation:
Department of Cardiology, Duke University Medical Center, Durham, NC 27710.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiography / methods
Aortic Valve Stenosis / diagnosis*
Coronary Vessels
Fluoroscopy
Heart Catheterization / instrumentation,  methods*
Humans
Grant Support
ID/Acronym/Agency:
5T32 HL07101-15/HL/NHLBI NIH HHS
Comments/Corrections
Comment In:
Cathet Cardiovasc Diagn. 1991 Mar;22(3):236-7   [PMID:  2013089 ]

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


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