Department of Cardiology, Dayanand Medical College and Hospital, Ludhiana, India
Department of Cardiology, Dayanand Medical College and Hospital, Ludhiana, India.
BMJ Case Rep. 2021 Feb 18;14(2):e239804. doi: 10.1136/bcr-2020-239804.
Aneurysmally dilated aortic route pose a considerable challenge in invasive coronary angiography (CAG) using routine workhorse catheters. Often one has to resort to either CT CAG which is not possible in all cases or use other techniques described in literature which may be technically challenging. We report a novel technique using multipurpose-1 (MPA-1) catheter. By applying gentle pressure, MPA-1 can be shaped to conform to aortic root anatomy by forming a primary and secondary loop. This makes engagement of left main ostium easy and atraumatic.
在使用常规工作导引导管进行经皮冠状动脉造影（CAG）时，迂曲扩张的主动脉路径带来了相当大的挑战。通常，人们不得不求助于并非在所有情况下都可行的 CT CAG，或者使用文献中描述的其他技术，但这些技术可能具有技术挑战性。我们报告了一种使用多功能-1（MPA-1）导管的新技术。通过施加轻柔的压力，MPA-1 可以通过形成一级和二级环来塑形以适应主动脉根部解剖结构。这使得左主干开口的进入变得容易且无创伤。
