Abstract
We encountered a case of blow-out type coronary perforation at the calcified stenosis of left anterior descending artery. First, we started immediate balloon tamponade through the initial guiding catheter (GC) with a GuideLiner® catheter. Next, we introduced a second GC with a GuideLiner® catheter and successfully deployed a covered stent. Two sets of the GC with GuideLiner® catheter facilitated us to simultaneously perform temporary hemostasis with balloon tamponade and rapid delivery of a covered stent. To alternately manipulate the GuideLiner® catheters, back and forth with seesaw-like motion enabled us to minimize the interruption of balloon tamponade.
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Sugimoto, T., Nomura, T., Miyawaki, D. et al. Seesaw double GuideLiner® catheter technique for a successful bail-out procedure from blow-out type coronary perforation. Cardiovasc Interv and Ther 32, 396–400 (2017). https://doi.org/10.1007/s12928-016-0436-7
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DOI: https://doi.org/10.1007/s12928-016-0436-7