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Valve Engagement: Angiography

Animation

Angiography

Left Coronary System

Step by Step

Angiography

Left Coronary System

Animation

Angiography

Right Coronary System

Step by Step

Angiography

Right Coronary System
ANIMATION (Self-Expanding)
X
STEP BY STEP (Left Angio) (Self-Expanding)
Commissural Post Front
  • 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.
Commissural Post Away
  • 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)
STEP BY STEP (Right Angio) (Self-Expanding)
Commissural Post Front
  • 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.
Commissural Post Away
  • 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

Angiography

Left Coronary System

Step by Step

Angiography

Left Coronary System

Animation

Angiography

Right Coronary System

Step by Step

Angiography

Right Coronary System
ANIMATION (Balloon-Expanding)
STEP BY STEP (Left Angio) (Balloon-Expanding)
Commissural Post Front
  • 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.
Commissural Post Away
  • Use standard catheters JL4/JL3.5 to engage coronary arteries.
ANIMATION (Balloon-Expanding)
STEP BY STEP (Right Angio) (Balloon-Expanding)
Commissural Post Front
  • 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.
Commissural Post Away
  • Use standard catheters JR4 to engage coronary arteries.
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