Seesaw double GuideLiner® catheter technique for a successful bail-out procedure from blow-out type coronary perforation.
We encountered a case of blow-out type coronary perforation at the calcified stenosis of left anterior descending artery. First, we started immediate balloon tamponade through the initial guiding catheter (GC) with a GuideLiner® catheter. Next, we introduced a second GC with a GuideLiner® catheter and successfully deployed a covered stent. Two sets of the GC with GuideLiner® catheter facilitated us to simultaneously perform temporary hemostasis with balloon tamponade and rapid delivery of a covered stent. To alternately manipulate the GuideLiner® catheters, back and forth with seesaw-like motion enabled us to minimize the interruption of balloon tamponade.
['Sugimoto|Takeshi|T|', 'Nomura|Tetsuya|T|', 'Miyawaki|Daisuke|D|', 'Kato|Taku|T|', 'Keira|Natsuya|N|', 'Tatsumi|Tetsuya|T|']
D000369:Aged, 80 and over D021721:Balloon Occlusion D023921:Coronary Stenosis D003331:Coronary Vessels D005260:Female D006488:Hemostasis, Surgical D006801:Humans D007423:Intra-Aortic Balloon Pumping D062645:Percutaneous Coronary Intervention D020519:Pericardiocentesis D019919:Prosthesis Implantation D015607:Stents D061205:Vascular Calcification D057772:Vascular System Injuries
Bail-out Coronary perforation Dual guiding catheter Seesaw GuideLiner® technique