Double guide double wrist 5F left coronary artery transradial percutaneous coronary intervention and the X-Kiss technique

Dangoisse Vincent, Schroëder Erwin, Claude Hanet, Antoine Guédès, Pancholy Samir

Research output: Contribution to journalArticle

Abstract

Percutaneous coronary intervention for bifurcated anatomy, particularly at the proximal left coronary artery site, requires guide catheters (GC) of at least 6 french and preferably larger in diameter. We describe a new trans-radial approach more suitable for small artery size: the simultaneous use of both radial arteries for double cannulation of the LMCA with 5F GC: each GC will target either the LM/LAD or the LM/CX artery (or LM-LAD/LM-LAD-1st diagonal branch) stenoses. The technique successfully was applied to 5 cases. When the technique was used for distal left main coronary artery stenoses (3 cases), a special crogss-like configuration obtained when guide catheters, coronary wires and balloons kissed was observed.

Original languageEnglish
Pages (from-to)45-52
Number of pages8
JournalAcute Cardiac Care
Volume18
Issue number3
DOIs
Publication statusPublished - 2 Jul 2016
Externally publishedYes

Keywords

  • Distal unprotected LMCA disease
  • kissing-balloon technique
  • LCA percutaneous coronary intervention
  • slender technique
  • transradial approach

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