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Current Cardiology Reviews

Author(s): Raman Chawla*, Wasim Ahamad and Vivek Sharma

DOI: 10.2174/1573403X15666191018105627

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Techniques to Overcome Difficulty in Device Deliverability to Lesion in Complex PCI

Page: [117 - 124] Pages: 8

  • * (Excluding Mailing and Handling)

Abstract

Percutaneous Coronary Intervention (PCI) has revolutionized the management of Coronary Artery Disease and has become the preferred modality of revascularization in a majority of cases. Nevertheless, situations are encountered frequently where device deliverability to coronary lesions entails technical difficulties due to varied anatomies and lesional complexities like tortuosity, calcifications, length of lesions and vessel morphology. While continuous technological refinements are occurring in PCI hardware armamentarium and stent designs, a number of techniques and their modifications and variations have evolved to increase the applicability of PCI to difficult lesions.

The present article envisages a thorough review of all aspects of improving successful device deliverability in complex PCI with prominent emphasis on increasing the backup support of Guide Catheters which is the primary factor of success in difficult coronary lesions.

Keywords: Percutaneous Coronary Intervention (PCI), Drug-Eluting Stents (DES), Chronic Total Occlusion (CTO), Transradial Interventions (TRI), mother- child technique, guideliner, buddy wire, anchor balloon.

Graphical Abstract

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