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Cardiovascular Intervention and Therapeutics

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01-04-2016 | Case Report

“Dual role” guiding catheter: a new technique for patients requiring coronary protection during transcatheter aortic valve implantation

Authors: Taku Inohara, Kentaro Hayashida, Fumiaki Yashima, Yuichiro Maekawa, Hideyuki Shimizu, Keiichi Fukuda

Published in: Cardiovascular Intervention and Therapeutics | Issue 2/2016

Abstract

Coronary occlusion is a life-threatening complication during transcatheter aortic valve implantation (TAVI) that requires immediate revascularization. Conventionally, a total of 3 catheters are required to protect the coronary ostia during TAVI: a pigtail catheter for the angiographic evaluation of valve positioning, a guiding catheter, and a TAVI delivery system. In this case series, we present a new, simplified technique for patients who require coronary protection during TAVI using a total of only 2 catheters: a guiding catheter and TAVI delivery system. This simplified technique results in a simpler procedure and reduces vascular complications in this high-risk cohort.

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Title: “Dual role” guiding catheter: a new technique for patients requiring coronary protection during transcatheter aortic valve implantation
Authors: Taku Inohara
Kentaro Hayashida
Fumiaki Yashima
Yuichiro Maekawa
Hideyuki Shimizu
Keiichi Fukuda
Publication date: 01-04-2016
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 2/2016
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-015-0326-4

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“Dual role” guiding catheter: a new technique for patients requiring coronary protection during transcatheter aortic valve implantation

Abstract

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