Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
1993-8-12
pubmed:abstractText
The size and rigid length of the directional coronary atherectomy catheter creates a new set of demands and constraints for guiding catheter manufacturers. Large lumen guides with gradual, rather than abrupt, curves are necessary, and a number of unique shapes have been developed to address native coronary and saphenous vein graft anatomy. The guiding catheter has a tendency to straighten and disengage from the coronary or graft ostium as the DCA device is advanced, and coaxial alignment of the body of the guiding catheter is essential to engage the atherectomy device. Power-positioning and deep seating of these large lumen, thin walled, and rather rigid guides should be avoided, to minimize ostial complications. These guiding catheters require modifications of usual techniques for introduction, manipulation and maintenance or coaxial alignment with the target vessel, as well as for withdrawal through the aortic bifurcation. Strategies for successful guiding catheter selection and utilization are outlined.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0098-6569
pubmed:author
pubmed:issnType
Print
pubmed:volume
Suppl 1
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
72-5
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed:year
1993
pubmed:articleTitle
Guiding catheters for directional coronary atherectomy.
pubmed:affiliation
Department of Cardiology, Cleveland Clinic Foundation, OH 44195.
pubmed:publicationType
Journal Article