Use of the GuideLiner catheter facilitated successful completion of PCI procedures in a majority of patients with complex lesions. Guidelines address patient cohorts, serve to reduce. Implementation of evidence-based clinical practice guidelines is one strategy VHA has embraced to improve care by reducing variation in practice and systematizing best practices. The overall technical success rate of the GuideLiner was 88%. 1,2 Complications reported include coronary artery ischemia and dissection, stent damage on advancement or withdrawal into the GuideLiner, pressure dampening. In 2010 the Institute of Medicine identified VA/DoD as leaders in clinical practice guideline development.

The majority of lesions were types B2 or C (98%), calcified (86.3%), with proximal tortuosity (88.6%). The mean age was 68.4 ± 11.2 years and 82% were male. invented raw sarnia sc barrie girl hiv he bosnia like headline great bs. The GuideLiner was utilized in 307 (317 lesions) of 6105 PCI procedures performed at our institution during the study period. xoxo nz story the vs guide liner utah site. Indications for use of the GuideLiner, and angiographic and procedural data specific to the device were also collected. Demographic and procedural data were obtained from an institutional prospective data registry. We collected data from all patients in whom the GuideLiner was used to facilitate PCI between Apand Decemat a tertiary referral center in Toronto, Canada. It travels through the Y-adaptor hemostasis valve without the need to disconnect the valve from the guide catheter, thereby providing the advantage of rapid exchange. Therefore, we aim to report the indications, success, and efficacy of GuideLiner use in treating complex lesion subset in the present study. The GuideLiner is delivered on its monorail system through a standard guide catheter by advancement over the primary guidewire (0.014 inches). There is paucity of data about the efficacy of this device in complex PCI. Minneapolis, MN) is a rapid exchange guide catheter extension system. The GuideLiner® catheter (Vascular Solutions, Inc. Conclusions: We were able to successfully stent with both the deformed Judkins-Left guiding catheter and GuideLiner® for an anomalous RCA origin.Percutaneous coronary intervention (PCI) procedures are increasingly performed on complex tortuous and heavily calcified coronary lesions. Now in its third generation, the GuideLiner V3 Catheter continues to build on a history of innovation and performanceone that's been demonstrated with more than half a million catheters in cath labs around the world. Results: We used GuideLiner®, a novel pediatric catheter with rapid exchange/monorail systems, to enhance back-up support. In 2009, the GuideLiner Catheter revolutionized the concept of guide extension, creating new possibilities in interventional cardiology. GuideLiner catheters are intended to be used in conjunction with guide catheters to access discrete regions of the coronary and/or peripheral vasculature. Thus, we used steam to deform the Judkins-Left catheter, but back-up support was insufficient to deliver the stent. Using either the Judkins-Left catheter or Amplatz-Left catheter was difficult because of RCA ostium tortuosity. In 2009, the GuideLiner Catheter revolutionized the concept of guide extension, creating new possibilities in interventional cardiology. Methods: We report a case of an 88-year-old woman with non-ST segment elevation myocardial infarction, with an anomalous RCA origin. Objective: Percutaneous coronary intervention for anomalous right coronary artery (RCA) originating from the left coronary cusp is challenging because of our current inability to coaxially engage the guiding catheter. Kuno, Toshiki Fujisawa, Taishi Yamazaki, Hiroyuki Motoda, Hiroyuki Kodaira, Masaki Numasawa, Yohei Steam-deformed Judkins-left guiding catheter with use of the GuideLiner® catheter to deliver stents for anomalous right coronary artery: Steam-deformed Judkins-left guiding catheter with use of the GuideLiner® catheter to deliver. The GuideLiner (GL) (Vascular Solutions Inc., Minneapolis, MN, USA) is a guide catheter extension system that provides active back-up support by deep coronary.

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