Suzuki George, Nozaki Yoichi, Sakurai Masayuki
Division of Cardiovascular Medicine, Hokko Memorial Hospital, North-27, East-8, Higashi-Ku, Sapporo, Hokkaido 065-0027, Japan.
J Invasive Cardiol. 2013 Jan;25(1):48-54.
Guidewire manipulation to negotiate branches originating at an acute angle from the parent artery is a frequently encountered challenge by the interventional cardiologist in clinical practice. To date, several methods have been developed, but none of them has a definitive success rate. Here, we report a technique for negotiating extremely angulated vascular bifurcations, with which we have achieved a high rate of success in percutaneous coronary intervention. This technique involves combining a reversed guidewire technique with a double-lumen multifunctional probing microcatheter. We present the cases of 3 patients successfully treated using this technique.
在临床实践中，导丝操作以通过起源于与母动脉呈锐角分支的血管是介入心脏病学家经常遇到的挑战。迄今为止，已经开发了几种方法，但没有一种具有确定的成功率。在这里，我们报告一种用于通过极成角血管分叉的技术，我们已在经皮冠状动脉介入治疗中取得了很高的成功率。该技术涉及将反向导丝技术与双腔多功能探测微导管相结合。我们展示了使用该技术成功治疗的3例患者的病例。
