scholarly journals Technical Considerations in Transradial Unprotected Left Main Stem Rotational Atherectomy-Assisted and IVUS-Guided Percutaneous Coronary Intervention Using the 7.5F Eaucath Sheathless Guiding Catheter System

2018 ◽  
Vol 9 (4) ◽  
pp. 258-263 ◽  
Author(s):  
George Kassimis ◽  
Nicholas Weight ◽  
Nestoras Kontogiannis ◽  
Tushar Raina
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Main Stem ◽  
Rotational Atherectomy ◽  
Left Main ◽  
Percutaneous Coronary ◽  
Catheter System ◽  
Sheathless Guiding Catheter ◽  
Guiding Catheter ◽  
Technical Considerations

scholarly journals Adoption of same day discharge following elective left main stem percutaneous coronary intervention

2020 ◽  
Vol 321 ◽  
pp. 38-47
Author(s):  
Paraskevi Taxiarchi ◽  
Evangelos Kontopantelis ◽  
Tim Kinnaird ◽  
Nick Curzen ◽  
Adrian Banning ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Main Stem ◽  
Left Main ◽  
Left Main Stem ◽  
Percutaneous Coronary ◽  
Same Day Discharge

scholarly journals Primary percutaneous coronary intervention in the left main stem of a monocoronary artery

2009 ◽  
Vol 17 (7) ◽  
pp. 274-276 ◽  
Author(s):  
M. Basalus ◽  
J. W. Louwerenburg ◽  
K. G. van Houwelingen ◽  
M. G. Stoel ◽  
C. von Birgelen
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Primary Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Main Stem ◽  
Left Main ◽  
Left Main Stem ◽  
Percutaneous Coronary

scholarly journals Percutaneous Coronary Intervention for High Takeoff Left Main Coronary Artery: A Case Report

2018 ◽  
Vol 03 (04) ◽  
pp. 237-239
Author(s):  
Seetharam Vankudoth ◽  
Madhurima Banoth
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Case Reports ◽  
Coronary Intervention ◽  
Anterior Wall ◽  
Left Main ◽  
Stent Restenosis ◽  
Percutaneous Coronary ◽  
The Right ◽  
Diagnostic Catheter ◽  
Guiding Catheter

AbstractPercutaneous coronary intervention (PCI) for high takeoff left main is challenging, as it poses difficulties with the engagement of the guiding catheter and establishment of backup support. This report examines the case of a 53-year-old woman with history of anterior wall myocardial infarction with a ventricular septal defect (VSD), who was treated with left anterior descending (LAD) angioplasty and VSD device closure done 4 years back, and now she presented with unstable angina. After successful engagement of 5F Tiger diagnostic catheter through a right radial artery, the angiography revealed an 80% stenosis of the proximal LAD and in-stent restenosis 70% of mid-LAD. The authors tried to engage the left coronary system through the right femoral artery with 6F Judkins left, 6F Amplatzer left, 6F EBU, and 6F XBU. They could not cannulate because of high takeoff left main, so they switched to right radial access. Then they engaged a 6F 3.5 EBU catheter. Due to the weak backup support of the guiding catheter, they used another wire to stabilize it and the stent was implanted successfully. This is one of the rare case reports of PCI for high takeoff left main.

scholarly journals Staged Percutaneous Coronary Intervention with Rotational Atherectomy or Bypass Surgery in Chronic Hemodialysis and Severely Calcified Left Main True Bifurcation Lesion: A Case Report and Literature Review

2020 ◽  
Vol 14 ◽  
pp. 117954682095179
Author(s):  
Kazuhiro Dan ◽  
Akira Shinoda ◽  
Hector M Garcia-Garcia
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Chronic Hemodialysis ◽  
Rotational Atherectomy ◽  
Left Main ◽  
Percutaneous Coronary

Previous observational studies and meta-analyses reported that the optimal strategy of coronary revascularization (percutaneous coronary intervention [PCI] and bypass surgery) for anatomically complex coronary artery lesions in the chronic hemodialysis setting is still controversial because the long-term outcomes were superior with coronary artery bypass grafting, especially with regard to repeat revascularization; however, short-term mortality with PCI was significantly lower because it is less invasive. Moreover, no guidelines show a strategy for this setting. We report the case of a patient with chronic dialysis and calcified left main true bifurcation lesion who underwent staged PCI with rotational atherectomy and minimally invasive direct coronary artery bypass for in-stent restenosis who died of non-occlusive mesenteric ischemia.

27 Clinical outcomes of unprotected left main stem percutaneous coronary intervention in a non-surgical centre

Heart ◽  
2016 ◽  
Vol 102 (Suppl 4) ◽  
pp. A12.3-A13
Author(s):  
Usha Rao ◽  
Simon Eccleshall ◽  
T Sarev ◽  
L Hughes ◽  
A Ryding ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Clinical Outcomes ◽  
Coronary Intervention ◽  
Main Stem ◽  
Left Main ◽  
Left Main Stem ◽  
Percutaneous Coronary
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