A modified reverse guidewire technique for a Crusade-uncrossable bifurcation lesion
A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Kasahara, Taku [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020transfer abstract |
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| Schlagwörter: |
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| Umfang: |
3 |
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| Übergeordnetes Werk: |
Enthalten in: Total Rectal Dose Estimated From Radical External Beam and Intracavitary Radiation Therapy for Uterine Cervical Cancer Using Deformable Image Registration Method - Hayashi, K. ELSEVIER, 2014, official online journal of the Japanese College of Cardiology for publishing case reports, Tokyo [u.a.] |
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| Übergeordnetes Werk: |
volume:21 ; year:2020 ; number:1 ; pages:32-34 ; extent:3 |
| Links: |
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| DOI / URN: |
10.1016/j.jccase.2019.09.005 |
|---|
| Katalog-ID: |
ELV048970611 |
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| 245 | 1 | 0 | |a A modified reverse guidewire technique for a Crusade-uncrossable bifurcation lesion |
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| 520 | |a A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. | ||
| 520 | |a A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. | ||
| 650 | 7 | |a Double lumen catheter |2 Elsevier | |
| 650 | 7 | |a Bifurcation |2 Elsevier | |
| 650 | 7 | |a Percutaneous coronary intervention |2 Elsevier | |
| 650 | 7 | |a Reverse guidewire technique |2 Elsevier | |
| 700 | 1 | |a Sakakura, Kenichi |4 oth | |
| 700 | 1 | |a Momomura, Shin-ichi |4 oth | |
| 700 | 1 | |a Fujita, Hideo |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |n Elsevier |a Hayashi, K. ELSEVIER |t Total Rectal Dose Estimated From Radical External Beam and Intracavitary Radiation Therapy for Uterine Cervical Cancer Using Deformable Image Registration Method |d 2014 |d official online journal of the Japanese College of Cardiology for publishing case reports |g Tokyo [u.a.] |w (DE-627)ELV012285609 |
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10.1016/j.jccase.2019.09.005 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000000860.pica (DE-627)ELV048970611 (ELSEVIER)S1878-5409(19)30089-1 DE-627 ger DE-627 rakwb eng 610 VZ 44.40 bkl Kasahara, Taku verfasserin aut A modified reverse guidewire technique for a Crusade-uncrossable bifurcation lesion 2020transfer abstract 3 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. Double lumen catheter Elsevier Bifurcation Elsevier Percutaneous coronary intervention Elsevier Reverse guidewire technique Elsevier Sakakura, Kenichi oth Momomura, Shin-ichi oth Fujita, Hideo oth Enthalten in Elsevier Hayashi, K. ELSEVIER Total Rectal Dose Estimated From Radical External Beam and Intracavitary Radiation Therapy for Uterine Cervical Cancer Using Deformable Image Registration Method 2014 official online journal of the Japanese College of Cardiology for publishing case reports Tokyo [u.a.] (DE-627)ELV012285609 volume:21 year:2020 number:1 pages:32-34 extent:3 https://doi.org/10.1016/j.jccase.2019.09.005 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA SSG-OPC-PHA GBV_ILN_22 GBV_ILN_24 GBV_ILN_40 GBV_ILN_105 44.40 Pharmazie Pharmazeutika VZ AR 21 2020 1 32-34 3 |
| spelling |
10.1016/j.jccase.2019.09.005 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000000860.pica (DE-627)ELV048970611 (ELSEVIER)S1878-5409(19)30089-1 DE-627 ger DE-627 rakwb eng 610 VZ 44.40 bkl Kasahara, Taku verfasserin aut A modified reverse guidewire technique for a Crusade-uncrossable bifurcation lesion 2020transfer abstract 3 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. Double lumen catheter Elsevier Bifurcation Elsevier Percutaneous coronary intervention Elsevier Reverse guidewire technique Elsevier Sakakura, Kenichi oth Momomura, Shin-ichi oth Fujita, Hideo oth Enthalten in Elsevier Hayashi, K. ELSEVIER Total Rectal Dose Estimated From Radical External Beam and Intracavitary Radiation Therapy for Uterine Cervical Cancer Using Deformable Image Registration Method 2014 official online journal of the Japanese College of Cardiology for publishing case reports Tokyo [u.a.] (DE-627)ELV012285609 volume:21 year:2020 number:1 pages:32-34 extent:3 https://doi.org/10.1016/j.jccase.2019.09.005 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA SSG-OPC-PHA GBV_ILN_22 GBV_ILN_24 GBV_ILN_40 GBV_ILN_105 44.40 Pharmazie Pharmazeutika VZ AR 21 2020 1 32-34 3 |
| allfields_unstemmed |
10.1016/j.jccase.2019.09.005 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000000860.pica (DE-627)ELV048970611 (ELSEVIER)S1878-5409(19)30089-1 DE-627 ger DE-627 rakwb eng 610 VZ 44.40 bkl Kasahara, Taku verfasserin aut A modified reverse guidewire technique for a Crusade-uncrossable bifurcation lesion 2020transfer abstract 3 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. Double lumen catheter Elsevier Bifurcation Elsevier Percutaneous coronary intervention Elsevier Reverse guidewire technique Elsevier Sakakura, Kenichi oth Momomura, Shin-ichi oth Fujita, Hideo oth Enthalten in Elsevier Hayashi, K. ELSEVIER Total Rectal Dose Estimated From Radical External Beam and Intracavitary Radiation Therapy for Uterine Cervical Cancer Using Deformable Image Registration Method 2014 official online journal of the Japanese College of Cardiology for publishing case reports Tokyo [u.a.] (DE-627)ELV012285609 volume:21 year:2020 number:1 pages:32-34 extent:3 https://doi.org/10.1016/j.jccase.2019.09.005 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA SSG-OPC-PHA GBV_ILN_22 GBV_ILN_24 GBV_ILN_40 GBV_ILN_105 44.40 Pharmazie Pharmazeutika VZ AR 21 2020 1 32-34 3 |
| allfieldsGer |
10.1016/j.jccase.2019.09.005 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000000860.pica (DE-627)ELV048970611 (ELSEVIER)S1878-5409(19)30089-1 DE-627 ger DE-627 rakwb eng 610 VZ 44.40 bkl Kasahara, Taku verfasserin aut A modified reverse guidewire technique for a Crusade-uncrossable bifurcation lesion 2020transfer abstract 3 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. Double lumen catheter Elsevier Bifurcation Elsevier Percutaneous coronary intervention Elsevier Reverse guidewire technique Elsevier Sakakura, Kenichi oth Momomura, Shin-ichi oth Fujita, Hideo oth Enthalten in Elsevier Hayashi, K. ELSEVIER Total Rectal Dose Estimated From Radical External Beam and Intracavitary Radiation Therapy for Uterine Cervical Cancer Using Deformable Image Registration Method 2014 official online journal of the Japanese College of Cardiology for publishing case reports Tokyo [u.a.] (DE-627)ELV012285609 volume:21 year:2020 number:1 pages:32-34 extent:3 https://doi.org/10.1016/j.jccase.2019.09.005 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA SSG-OPC-PHA GBV_ILN_22 GBV_ILN_24 GBV_ILN_40 GBV_ILN_105 44.40 Pharmazie Pharmazeutika VZ AR 21 2020 1 32-34 3 |
| allfieldsSound |
10.1016/j.jccase.2019.09.005 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000000860.pica (DE-627)ELV048970611 (ELSEVIER)S1878-5409(19)30089-1 DE-627 ger DE-627 rakwb eng 610 VZ 44.40 bkl Kasahara, Taku verfasserin aut A modified reverse guidewire technique for a Crusade-uncrossable bifurcation lesion 2020transfer abstract 3 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. Double lumen catheter Elsevier Bifurcation Elsevier Percutaneous coronary intervention Elsevier Reverse guidewire technique Elsevier Sakakura, Kenichi oth Momomura, Shin-ichi oth Fujita, Hideo oth Enthalten in Elsevier Hayashi, K. ELSEVIER Total Rectal Dose Estimated From Radical External Beam and Intracavitary Radiation Therapy for Uterine Cervical Cancer Using Deformable Image Registration Method 2014 official online journal of the Japanese College of Cardiology for publishing case reports Tokyo [u.a.] (DE-627)ELV012285609 volume:21 year:2020 number:1 pages:32-34 extent:3 https://doi.org/10.1016/j.jccase.2019.09.005 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA SSG-OPC-PHA GBV_ILN_22 GBV_ILN_24 GBV_ILN_40 GBV_ILN_105 44.40 Pharmazie Pharmazeutika VZ AR 21 2020 1 32-34 3 |
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Enthalten in Total Rectal Dose Estimated From Radical External Beam and Intracavitary Radiation Therapy for Uterine Cervical Cancer Using Deformable Image Registration Method Tokyo [u.a.] volume:21 year:2020 number:1 pages:32-34 extent:3 |
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Enthalten in Total Rectal Dose Estimated From Radical External Beam and Intracavitary Radiation Therapy for Uterine Cervical Cancer Using Deformable Image Registration Method Tokyo [u.a.] volume:21 year:2020 number:1 pages:32-34 extent:3 |
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Total Rectal Dose Estimated From Radical External Beam and Intracavitary Radiation Therapy for Uterine Cervical Cancer Using Deformable Image Registration Method |
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A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. 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a modified reverse guidewire technique for a crusade-uncrossable bifurcation lesion |
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A modified reverse guidewire technique for a Crusade-uncrossable bifurcation lesion |
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A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. |
| abstractGer |
A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. |
| abstract_unstemmed |
A reverse guidewire technique along with double lumen catheter has become a standard technique for extremely angulated bifurcation lesions. A-72-year-old male underwent coronary angiography, which revealed a severe stenosis of the left anterior descending artery with an extremely angulated diagonal branch. We introduced the Crusade (Kaneka, Osaka, Japan) accompanied with the reversed guidewire to the lesion, but the Crusade with the reversed guidewire could not cross the lesion. We kept the Crusade at the just proximal to the stenosis, and advanced the only reversed guidewire to the lesion. The reversed guidewire successfully crossed the lesion, and then we pulled back the reversed guidewire to lead the reversed guidewire’s tip into the diagonal branch retrogradely. In this modified reverse guidewire technique, the Crusade does not need to cross the lesion, but needs to bring the reversed guidewire at the just proximal of the lesion. Because the profile of the reversed guidewire alone is smaller than that of the Crusade accompanied with the reversed guidewire, the reversed guidewire alone has greater chance to cross the severe stenosis. Our modification may increase the success rate of the reverse guidewire technique, and expand the indication of this technique. |
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