Figures & data
Abbreviations: JR, Judkins right; JL, Judkins left; AR, Amplatz right; AL, Amplatz left; 3DRCA, three-dimensional right coronary artery.
Note: The relatively thin wall of the guiding catheter when compared with a similar size diagnostic catheter.
Abbreviation: PCI, percutaneous coronary intervention.
Abbreviation: PCI, percutaneous coronary intervention.
Abbreviations: JL, Judkins left; JCL, Judkins curve left; JR, Judkins right; JCR, Judkins curve right; FL, femoral left; FR, femoral right; AL, amplatzer left; MB, multipurpose.
Notes: (A) Standard position of Hockey stick guide. (B) Power position after guide catheter manipulation.
Note: (A) Mechanism of enhanced support using a “child” catheter. (B) Use of the “mother-child” technique to increase guide support for balloon or stent delivery; (a) 5-Fr mother guiding catheter with 4-Fr child from Kiwami; (b) standard 5-Fr mother-child catheter.
Abbreviation: JR, Judkins right.
Abbreviation: JR, Judkins right.
Notes: (A) Initial position of guide catheter in proximal RCA. (B) Deeper intubation of JR guide into mid RCA.
Notes: (A) Normal XB 3.5 guide catheter for the left anterior descending not giving enough support to cross a lesion in the obtuse marginal. (B) Changed to Amplatz 2 guide catheter with buddy wire support. (C) Stent not crossing in spite of deep engagement of guide catheter and deep inspiration. (D) & (E) Stent crossed over Iron Man wire guide wire support, after multiple predilatations and attaining more horizontal position of Amplatz guide catheter. (F) Final result with TIMI III flow.
Abbreviation: TIMI, thrombolysis in myocardial infarction.
Abbreviation: TIMI, thrombolysis in myocardial infarction.
Notes: (A) Poor support provided by a Judkins right guide catheter. (B) Better support provided by the Armplatz left guide and using buddy wire.
Notes: (A) Ostium of protected left main showing 80% stenosis. (B) Predilated with a 3.5*8 mm noncompliant balloon. (C) IVUS catheter crossing the lesion. (D) Stenting of protected left main post coronary artery bypass grafting. (E) Initially IVUS catheter crossed the predilated ostial proximal left main lesion but the post stent IVUS catheter could not cross the stent due to inadequate support provided by the Judkins left 3.5 guiding catheter.
Abbreviation: IVUS, intravascular ultrasound.
Abbreviation: IVUS, intravascular ultrasound.