A coronary catheter is a special type of catheter that allows for the contrast injection for coronary angiogram as well as the passage of devices required for coronary intervention. Two different types for coronary intervention are available.

A diagnostic catheter has a thicker shaft with smaller diameter compared to a guide catheter.

• Has thinner wall than diagnostic catheter, hence careful manipulation is required
• Conduit for injecting contrast and transporting guide wires & devices
• Can measure aortic & arterial pressures
• Rotate it while withdrawing or advancing it

What are primary and secondary curves?

Left Catheters

• Judkins Left
• Amplatz Left

Right Catheters

• Judkins Right
• Amplatz Right
• 3DRC

Universal

• Multipurpose
• Sones
• Castillo

Universal Radial

• Tiger
• Jackey
• Kimney

Graft & IMA Catheters

• RCB
• LCB
• IMA
• IMA VB-1
• (Use JR4 all VGs, Multipurpose right coronary graft, AL1 all VGs to left system)

• AL 0.75/1
• AR 2
• VL/FCL
• 3DRC

Catheters selections should be based on size of aortic root.

• 6F (2 mm) is the standard
1. Allows radial access
2. 2 modern monorails balloons fit, 1.75mm Rota burr

• 7F (2.33 mm)
1. Bifurcation techniques requiring 2 stents approach : Crush, V stenting
2. CTO (2 OTW catheters for parallel wire approach)
3. 2.0mm Rota Burr

• 8F (2.66 mm)
1. Atherectomy Flexicut
2. Rota > 2mm Rota Burr
3. IVUS + OTW catheter for guided recanalization

Catheters selections should be based on size of aortic root.

• Diagnostic angiogram: JR4, TIG, Kimny
• PCI: Ikari Right, AL1, 3DRC

 
LCA

• Diagnostic angiogram: JL3.5, TIG, Kimny
• PCI: Ikari Left, VL3/3.5, JL, FL

• Although multiple catheters with various types and shapes are available, some of the guide catheters have a larger internal diameter than its counterpart, such as Medtronic: Launcher (0.071 inches), Cordis: Androit (0.072 inches), Boston Scientific: Convey (0.071 inches), Terumo: Heartrail II (0.071 inches) guide catheter.

1. Judkins Left 3.5
2. Judkins Left 4.0
3. Judkins Left 5.0
4. Judkins Left 6.0
5. Judkins Left Short Tip 3.5
6. Judkins Left Short Tip 4.0
7. Judkins Left Short Tip 5.0
8. Judkins Left Short Tip 6.0

1. Judkins Right 3.5
2. Judkins Right 4.0
3. Judkins Right 5.0
4. Judkins Right 6.0
5. Judkins Right Short Tip 3.5
6. Judkins Right Short Tip 4.0
7. Judkins Right Short Tip 5.0
8. Judkins Right Short Tip 6.0
9. Judkins Right Modified 3.5
10. Judkins Right Modified 4.0
11. Judkins Right Modified 5.0
12. Judkins Right Modified 6.0

1. Amplatz Left 1
2. Amplatz Left 2
3. Amplatz Left 3
4. Amplatz Left 4
5. Amplatz Right 1
6. Amplatz Right 2
7. Amplatz Right 3
8. Amplatz Right Modified
9. Progressive Right

1. Straight Pigtail
2. 145º Pigtail
3. 155º Pigtail
4. Multipurpose A1
5. Multipurpose A2
6. Multipurpose B1
7. Multipurpose B2
8. Sones

1. Left Coronary Bypass
2. Right Coronary Bypass
3. Internal Mammary

All images obtained from MeritOEM.