An 85-year-old male patient, with long-standing hypertension, was admitted to our hospital for a late inferior myocardial infarction. An elective coronary angiogram was performed, but due to severe iliac artery tortuosity, thoracic aortic dilatation, high left coronary artery take-off, and separated origin of the left descending coronary artery and circumflex, selective cannulation with different catheter shapes was not possible. Thus, we decided to utilize a modified mother-child technique by cutting the first 10 cm from the hub of a conventional 7 F Judkins left 4 guiding catheter and inserting it into a 7 F valved sheath. Then, we introduced a conventional 6 F Amplatz Left 2 diagnostic catheter inside it. In this way, we were able to easily reach both separate ostia and to perform complete left coronary angiography. The technique we described herewith could represent a valid solution to allow utilization of standard coronary catheters with different shapes commercially available in cases of complex coronary artery origin. © 2010 Italian Federation of Cardiology.

Modified mother-child technique for selective cannulation of complex take-off left coronary artery / Monopoli, Daniel E; Politi, Luigi; Sangiorgi, Giuseppe M; Modena, Maria G.. - In: JOURNAL OF CARDIOVASCULAR MEDICINE. - ISSN 1558-2027. - 11:7(2010), pp. 514-516. [10.2459/JCM.0b013e328330c4a3]

Modified mother-child technique for selective cannulation of complex take-off left coronary artery

Monopoli, Daniel E;Politi, Luigi;Modena, Maria G.
2010

Abstract

An 85-year-old male patient, with long-standing hypertension, was admitted to our hospital for a late inferior myocardial infarction. An elective coronary angiogram was performed, but due to severe iliac artery tortuosity, thoracic aortic dilatation, high left coronary artery take-off, and separated origin of the left descending coronary artery and circumflex, selective cannulation with different catheter shapes was not possible. Thus, we decided to utilize a modified mother-child technique by cutting the first 10 cm from the hub of a conventional 7 F Judkins left 4 guiding catheter and inserting it into a 7 F valved sheath. Then, we introduced a conventional 6 F Amplatz Left 2 diagnostic catheter inside it. In this way, we were able to easily reach both separate ostia and to perform complete left coronary angiography. The technique we described herewith could represent a valid solution to allow utilization of standard coronary catheters with different shapes commercially available in cases of complex coronary artery origin. © 2010 Italian Federation of Cardiology.
2010
11
7
514
516
Modified mother-child technique for selective cannulation of complex take-off left coronary artery / Monopoli, Daniel E; Politi, Luigi; Sangiorgi, Giuseppe M; Modena, Maria G.. - In: JOURNAL OF CARDIOVASCULAR MEDICINE. - ISSN 1558-2027. - 11:7(2010), pp. 514-516. [10.2459/JCM.0b013e328330c4a3]
Monopoli, Daniel E; Politi, Luigi; Sangiorgi, Giuseppe M; Modena, Maria G.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1148754
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