Emergency coronary angioplasty with stenting using Cordis® diagnostic coronary catheters when there is difficulty in engaging guide catheters and bench evaluation of diagnostic and guide catheters

Abstract

Angioplasty with stenting can be performed safely through 6F Cordis infiniti diagnostic catheters when difficulty in engaging guide catheters is encountered.

Angioplasty with Stenting in Acute Coronary Syndromes with Very Low Contrast Volume Using 6F Diagnostic Catheters and Bench Testing of Catheters

“…The trackability of the catheters is good up to the 74 cm, and after that the trackability was restricted (Figure 7/supplementary Figure 3). The bench testing in the femoral paths showed a force transmission ratio of 0.28 and 0.51 for diagnostic and guided catheters respectively [21].…”

“…The mean fluoroscopy time for the procedure was significantly lesser, which was about 5.3 min. In the previous study involving 34 patients in emergency setting [21], the Cordis 6F diagnostic catheters were used for angioplasty and stenting when difficulty in engagement in the coronary ostium was encountered, and the bench testing of catheters was performed in the femoral route. In this study, the 6F diagnostic catheters were used regularly for angioplasty, and bench testing of catheters was conducted through the radial path.…”

“…In the initial part of the study, diagnostic catheters were used to perform angioplasty when guide catheters failed to engage in the same patients [21]. Subsequently, when the technique was improved in high-risk patients with acute coronary syndromes, the angioplasty procedures were performed with Cordis 6F Infiniti diagnostic catheters itself.…”

Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report

“…There have been few reports of primary PCI done in patients with anomalous RCA published so far using guiding catheters. Another study has evaluated the use of diagnostic catheters for PCI in a difficult situation and found it helpful in certain cases [ 10 ].…”

“…There were no other difficulties encountered during the procedure. The use of diagnostic catheters for simple percutaneous coronary intervention has been found to be feasible; however, the use of diagnostic catheters for PCI for complex coronary intervention requiring thrombosuction or bifurcation stenting is not possible due to smaller lumen of the diagnostic catheters [ 10 ]. This case is aiming to generate awareness about the different anatomical variations of the coronary artery and its management during an emergency procedure.…”