Guideliner® catheteruFriend or foe?
Guideliner® catheteruFriend or foe?
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DOI：
10.1002/ccd.23261
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发表时间：
2012-09-01
影响因子：
2.3
通讯作者：
Spence, Mark S.
中科院分区：
文献类型：
--
作者：
Murphy, John Conleth;Spence, Mark S.
在复杂解剖结构的动脉中进行经皮冠状动脉介入治疗（PCI）仍然是一个临床难题。特别地，冠状血管内的迂曲经常遇到，并且可能妨碍球囊或支架向冠状动脉狭窄处的递送。这导致了许多辅助装置的发展，以帮助在困难的情况下支架输送。这些新型器械的安全性仍有待明确确定。Guideliner（R）儿童支持导管就是这样一种装置，它包括一个20 cm的硅涂层引导延伸部，当传统技术失败时，该延伸部有助于在迂曲的动脉中输送支架。初步报告表明其有效，且既往未发表与该器械相关的并发症。我们报告了在直接PCI过程中遇到的第一例涉及Guideliner（R）导管的并发症。我们假设的并发症的机制，并讨论它可能在未来避免的方式。(c)2011 Wiley Periodicals，Inc.
Performing percutaneous coronary intervention (PCI) in arteries with complex anatomy remains a clinical problem. In particular tortuosity within a coronary vessel is frequently encountered and can hamper delivery of balloons or stents to coronary stenoses. This has led to the development of a number of adjuvant devices to assist stent delivery in difficult cases. The safety profile of these novel devices remains to be clearly ascertained. The Guideliner (R) child support catheter is one such device and comprises of a 20-cm silicon-coated guide extension that assists delivery of stents in tortuous arteries when conventional techniques have failed. Initial reports suggest it is efficacious and no previous complications relating to the device have been published. We report the first complication involving the Guideliner (R) catheter which was encountered during primary PCI. We hypothesize regarding the mechanism of the complication and discuss the ways it may be avoided in the future. (c) 2011 Wiley Periodicals, Inc.