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Percutaneous Intervention With GuideLiner Catheter in 4 Patients With Anomalous Coronary Artery Originating From Opposite Sinus of Valsalva
Authors:Leire Unzué  ,Patricia Barrio,Eulogio Garcí  a,Rodrigo Teijeiro Mestre,Francisco José   Rodrí  guez Rodrigo,Francisco Javier Parra
Affiliation:1. Interventional Cardiology Unit, HM CIEC Madrid (Centro Integral de Enfermedades Cardiovasculares), Hospital Universitario HM Montepríncipe, HM Hospitales, Madrid, Spain ; 2. Cardiac Image Unit, HM CIEC Madrid (Centro Integral de Enfermedades Cardiovasculares), Hospital Universitario HM Montepríncipe, Madrid, Spain ; 3. Clinical Cardiology Unit, HM CIEC Madrid (Centro Integral de Enfermedades Cardiovasculares), HM Hospitales, Madrid, Spain
Abstract:Percutaneous intervention in anomalous coronary arteries originating from the opposite sinus of Valsalva is complicated by their unusual location and course, which makes selective cannulation difficult. The GuideLiner (Vascular Solutions, Inc.) is a monorail guide extension catheter designed to advance beyond the tip of a mother guide catheter to enable deep intubation of a coronary artery, provide extra support, and improve coaxial alignment. We describe the cases of 4 patients with an anomalous coronary artery originating from the opposite sinus of Valsalva—including 2 with acute myocardial infarction—who underwent successful percutaneous coronary intervention with use of a GuideLiner catheter.
Keywords:Cardiac catheterization/instrumentation/methods   coronary vessel anomalies/complications/therapy   GuideLiner catheter   percutaneous coronary intervention   sinus of Valsalva/abnormalities   stents
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