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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