Use of the Venture catheter to shorten the door-to-balloon time in patients with ST-Segment elevation acute myocardial infarction.

Achieving a door-to-balloon time < 90 min may be challenging in patients with ST-segment elevation acute myocardial infarction with difficult to wire coronary lesions. We report use of the Venture wire control catheter to facilitate wiring in four patients with significant tortuosity proximal to a thrombotic coronary occlusion, after conventional wiring attempts failed. Early use of the Venture catheter may help shorten the door-to-balloon time in patients with challenging to wire lesions.