Distal stent delivery with guideliner catheter: First in man experience

Abstract

Failure to deliver stents is one of the commonest causes of procedural failure in contemporary PCI practice. We describe successful use of the Guideliner catheter, the first purpose designed FDA and CE marked device delivery catheter in 13 complex cases in native coronary vessels and bypass grafts performed via the radial route to enable distal stent delivery following failure of conventional techniques. We discuss how the Guideliner catheter may be used to facilitate difficult radial cases.

Usefulness and safety of the GuideLiner catheter to enhance intubation and support of guide catheters: insights from the Twente GuideLiner registry

“…[6][7][8][9] . The GuideLiner (GL) catheter (Figure 1) is a novel rapid exchange guide catheter extension system that provides active guide support by its 20 cm-long flexible tubular end, which can be deeply advanced into target vessels [10][11][12][13][14][15][16][17][18] . Its handling is particularly easy, as it is does not require disconnection of the haemostatic valve at the proximal end of the guide catheter and is compatible with standard 180 cm-long guidewires.…”

“…So far, only a limited number of reports and case series have been published on the GL guide catheter extension [10][11][12][13][14][15][16][17][18] . Mamas et al reported a case series of 13 complex coronary interventions, performed via the radial artery with the "5-in-6" Fr GL system 10 .…”

“…Mamas et al reported a case series of 13 complex coronary interventions, performed via the radial artery with the "5-in-6" Fr GL system 10 .…”

Técnica "mother and child" com um novo cateter: experiência inicial

“…There are, however, descriptions of its successful use in venous grafts. 2,3 Furthermore, it is recommended, as a precaution, not to introduce the catheter more than 10 cm beyond the tip, as the GuideLiner TM can get stuck in the guide catheter (generally in the second curvature of the catheter). An intubation beyond 20 cm completely externalises the tube with the metal collar to the vessel, causing severe damage.…”

Optical coherence tomography imaging after successful percutaneous coronary intervention treatment of coronary perforation following bioabsorbable vascular scaffold implantation: Consecutive ping-pong and child-in-mother techniques

“…This technique is an alternative to single-catheter deep intubation and nowadays it can be performed with specific devices including Guideliner (Vascular Solutions Inc.) or the Guidezila (Boston Scientific Corporation) [9]. It has been useful in complex cases [10] and can yield excellent results, particularly in emergent situations requiring covered stent implantation.…”