eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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SCImago Journal & Country Rank
3/2013
vol. 9
 
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abstract:

New methods in diagnosis and therapy
Successful percutaneous coronary intervention using a 4-in-3 “Slender Mother and Child” PCI technique

Tsuyoshi Honda
,
Kazuteru Fujimoto
,
Yuji Miyao

Postep Kardiol Inter 2013; 9, 3 (33): 286–290
Online publish date: 2013/09/16
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We report two cases of successful percutaneous coronary intervention (PCI) using a 4-in-3 “Slender Mother and Child” PCI technique. In both cases, coronary angiography revealed severe stenosis of the right coronary artery (RCA). In both cases, 5-Fr sheathless guiding catheters were inserted into the RCA (virtual 3-Fr PCI) but stents could not pass through because of stents previously implanted at the proximal site of the target lesions. After 4-Fr straight “child” guiding catheters were inserted into the 5-Fr sheathless “slender mother” guiding catheters, they were deployed successfully at the target lesions. This system might be useful to improve stent delivery in virtual 3-Fr PCI.
keywords:

4-in-3, Slender Mother and Child, percutaneous coronary intervention

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