A rapid, effective technique for retrograde crossing of valvular aortic stenosis using standard coronary catheters.
Published
Journal Article
Retrograde crossing of valvular aortic stenosis can be challenging even to experienced angiographers. In 446 of 447 consecutive patients with aortic stenosis catheterized during the past 3 years, a technique using a standard Judkins right coronary catheter and a floppy straight tipped guide wire was successful in rapidly and efficiently crossing these pathologically distorted valves in retrograde fashion. Once the valve was crossed, the coronary catheter was replaced with a pigtail catheter for pressure and ventriculography. The majority of these valves required less than 2 min to cross using this technique. This method is valuable in limiting the time required for catheterization, thus helping to reduce procedure related morbidity in these oftimes critically ill patients.
Full Text
Duke Authors
Cited Authors
- Harrison, JK; Davidson, CJ; Phillips, HR; Harding, MB; Kisslo, KB; Bashore, TM
Published Date
- September 1990
Published In
Volume / Issue
- 21 / 1
Start / End Page
- 51 - 54
PubMed ID
- 2208268
Pubmed Central ID
- 2208268
International Standard Serial Number (ISSN)
- 0098-6569
Digital Object Identifier (DOI)
- 10.1002/ccd.1810210113
Language
- eng
Conference Location
- United States