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Valve Engagement: PCI

Animation

PCI

Left Coronary System

Step by Step

PCI

Left Coronary System

Step by Step

PCI

Right Coronary System
ANIMATION (Left Coronary Self-Expanding)
X
X
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

PCI

Left Coronary System

Step by Step

PCI

Left Coronary System

Step by Step

PCI

Right Coronary System
ANIMATION (Left Coronary Balloon-Expandable)
X
X
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.

Case ExamplesEducational Content

ATHERECTOMY COMPLICATIONS

Case ExamplesEducational Content

BYPASS GRAFT COMPLICATIONS

ModelBurst (ATM)Diameter (mm)Balloon Length (mm)              
681215202530
MINI TREK (CTO INDICATED)1.271.2
1.561.5
2.172✓*✓*
TREK2.372.25
2.672.5
2.912.75
3.113
3.53.25
3.73.5
3.943.75
4.324
4.864.5
5.365
*Only available as RX, not as OTW. Other sizes available in both versions.
Retrieved on April 07 2022 from Abbott product ordering information. Please look at the company's files for the latest available data on device configurations and avilability in your area.

Left Main DK Crush Video ID