Valve Engagement: PCI
ANIMATION (Left Coronary Self-Expanding)
STEP BY STEP (Left Coronary Self-Expanding)
- Use FL3.0/3.5 guide.
- Second line guide: Ikari Right 1.0/1.5.
- If difficulty with coronary engagement, rail guide towards the ostium using:
- Coronary guidewire.
- Balloon support.
- Guide extension catheter.
- Use FL3.0/3.5 guide.
- Second line guide: Ikari Right 1.0/1.5.
- If skirt is high, use Ikari Right guide to enter diamond from above ostia and rail guide towards ostium using:
- Coronary guidewire.
- Balloon support.
- Guide extension catheter.
STEP BY STEP (Right Coronary Self-Expanding)
- Use FR4 guide.
- Second line guide: Ikari Right 1.5.
- If difficulty with coronary engagement, rail guide towards the ostium using:
- Coronary guidewire.
- Balloon support.
- Guide extension catheter.
- Use FR4 guide.
- Second line guide: Ikari Right 1.5, AR2 (wide sinuses), MP.
- If skirt is high, use Ikari Right or MP guide to enter diamond from above coronary ostia and rail guide towards ostium using:
- Coronary Guidewire.
- Balloon support.
- Guide extension catheter.
ANIMATION (Left Coronary Balloon-Expandable)
STEP BY STEP (Left Coronary Balloon-Expandable)
- Use standard catheters VL3.5/EBU3.5/FL4 to engage coronary arteries.
- Attempt to engage coronary artery from cell adjacent to commissural post.
- If difficulty with coronary engagement, rail guide towards the ostium using:
- Coronary guidewire (hydrophilic)
- Balloon support (2.0x12mm)
- Guide extension catheter
- Use standard catheters VL3.5/EBU3.5/FL4 to engage coronary arteries.
STEP BY STEP (Right Coronary Balloon-Expandable)
- Use standard catheters VL3.5/EBU3.5/FL4 to engage coronary arteries.
- Attempt to engage coronary artery from cell adjacent to commissural post.
- If difficulty with coronary engagement, rail guide towards the ostium using:
- Coronary guidewire (hydrophilic)
- Balloon support (2.0x12mm)
- Guide extension catheter
- Use standard catheters VL3.5/EBU3.5/FL4 to engage coronary arteries.