Valve Engagement: Angiography
ANIMATION (Self-Expanding – Left Coronary System)
X
STEP BY STEP (Self-Expanding – Left Coronary System)
- Use JL3.5 or JR4 catheter.
- If unable to selectively engage, perform non-selective angiogram ± aortogram.
- Second line, use guide catheter: Ikari Right 1.5/1.0 or FL3.0.
- Use guide catheter (Ikari Right of FL 3.0) with a coronary guidewire to wire coronary artery for more selective engagement.
- Use JL3.5 or JR4 catheter.
- Selective/semi-selective angiogram is usually diagnostic.
- Second line, use guide catheter: Ikari Right 1.0/1.5.
- If skirt is high, use FR4 or Ikari Right 1.0/1.5 guide to enter from diamond above coronary ostia.
ANIMATION (Self-Expanding – Right Coronary System)
X
STEP BY STEP (Self-Expanding – Right Coronary System)
- Use JR4 catheter.
- If unable to selectively engage perform non-selective angiogram ± aortogram.
- Second line, use guide catheter: Ikari Right 1.5 or Multipurpose (MP).
- Use guide catheter (Ikari Right or MP) with a coronary guidewire to wire coronary artery for more selective engagement.
- Use JL3.5 or JR4 catheter.
- Selective/semi-selective angiogram is usually diagnostic.
- Second line, use AR2 catheter (especially if wide sinuses).
- If skirt is high, use MP guide catheter to enter from diamond above coronary ostia.
ANIMATION (Balloon-Expandable – Left Coronary System)
X
STEP BY STEP (Balloon-Expandable – Left Coronary System)
- Use standard catheters JL4/JL3.5 to engage coronary arteries.
- Attempt to engage coronary artery from cell adjacent to commissural post.
- If unable to engage, perform non-selective angiogram/aortogram.
- Use standard guide catheter (FL3, VL3, EBU3) with a coronary guidewire to wire coronary artery for more selective engagement.
- Use standard catheters JL4/JL3.5 to engage coronary arteries.
ANIMATION (Balloon-Expandable – Right Coronary System)
X
STEP BY STEP (Balloon-Expandable – Right Coronary System)
- Use standard catheters JR4 to engage coronary arteries.
- Attempt to engage coronary artery from cell adjacent to commissural post.
- If unable to engage, perform non-selective angiogram/aortogram.
- Use standard guide catheter (FL3, VL3, EBU3) with a coronary guidewire to wire coronary artery for more selective engagement.
- Use standard catheters JR4 to engage coronary arteries.