open access

Vol 13, No 3 (2018)
Case Reports
Published online: 2018-07-15
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BaLloon Assisted Sliding and Tracking of GuideLiner Catheter (BLAST-G) to successfully deliver stent in a calcified, tortuous lesion: case report

Santosh Kumar Sinha, Sunil Tripathi, Lokendra Rekwal, Anupam Kumar Singh, Nishant Kumar Abhishekh
DOI: 10.5603/FC.2018.0047
·
Folia Cardiologica 2018;13(3):247-251.

open access

Vol 13, No 3 (2018)
Case Reports
Published online: 2018-07-15

Abstract

GuideLiner (Vascular Solutions Inc., USA), GuideZila (Boston Scientific, USA) and Heartrail (Terumo, Japan) are the guide extension or mother-in-child catheters, which enhances guide support and therefore ease device delivery in tortuous, calcified vessels. In cases when the GuideLiner catheter cannot be advanced even with balloon anchoring technique, we slided the GuideLiner over inflated semi-compliant at medium pressure, facilitating its tracking over the workhorse wire through tortuous and balloon anchoring technique. Here, we describe a technique called BaLloon Assisted Sliding and Tracking of GuideLiner (BLAST-G) to successfully deliver the stent in proximal left anterior descending artery in a 73-year-old female patient suffering from chronic stable angina.

Abstract

GuideLiner (Vascular Solutions Inc., USA), GuideZila (Boston Scientific, USA) and Heartrail (Terumo, Japan) are the guide extension or mother-in-child catheters, which enhances guide support and therefore ease device delivery in tortuous, calcified vessels. In cases when the GuideLiner catheter cannot be advanced even with balloon anchoring technique, we slided the GuideLiner over inflated semi-compliant at medium pressure, facilitating its tracking over the workhorse wire through tortuous and balloon anchoring technique. Here, we describe a technique called BaLloon Assisted Sliding and Tracking of GuideLiner (BLAST-G) to successfully deliver the stent in proximal left anterior descending artery in a 73-year-old female patient suffering from chronic stable angina.
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Keywords

balloon assisted sliding and tracking, balloon anchoring technique, calcified lesion, GuideLiner catheter

About this article
Title

BaLloon Assisted Sliding and Tracking of GuideLiner Catheter (BLAST-G) to successfully deliver stent in a calcified, tortuous lesion: case report

Journal

Folia Cardiologica

Issue

Vol 13, No 3 (2018)

Pages

247-251

Published online

2018-07-15

DOI

10.5603/FC.2018.0047

Bibliographic record

Folia Cardiologica 2018;13(3):247-251.

Keywords

balloon assisted sliding and tracking
balloon anchoring technique
calcified lesion
GuideLiner catheter

Authors

Santosh Kumar Sinha
Sunil Tripathi
Lokendra Rekwal
Anupam Kumar Singh
Nishant Kumar Abhishekh

References (8)
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  2. Mamas MA, Fath-Ordoubadi F, Fraser DG. Distal stent delivery with Guideliner catheter: first in man experience. Catheter Cardiovasc Interv. 2010; 76(1): 102–111.
  3. Rao U, Gorog D, Syzgula J, et al. The GuideLiner "child" catheter. EuroIntervention. 2010; 6(2): 277–279.
  4. Patel T, Shah S, Sanghavi K, et al. Management of radial and brachial artery perforations during transradial procedures--a practical approach. J Invasive Cardiol. 2009; 21(10): 544–547.
  5. Patel T, Shah S, Pancholy S, et al. Balloon-assisted tracking: a must-know technique to overcome difficult anatomy during transradial approach. Catheter Cardiovasc Interv. 2014; 83(2): 211–220.
  6. Patel T, Shah S, Pancholy S. Balloon-assisted tracking of a guide catheter through difficult radial anatomy: a technical report. Catheter Cardiovasc Interv. 2013; 81(5): E215–E218.
  7. Hirokami M, Saito S, Muto H. Anchoring technique to improve guiding catheter support in coronary angioplasty of chronic total occlusions. Catheter Cardiovasc Interv. 2006; 67(3): 366–371.
  8. Sinha SK, Mishra V, Jha MJ, et al. Primary percutaneous coronary intervention using BaLloon-Assisted Sliding and Tracking (BLAST) of diagnostic catheter to negotiate double hairpin loop of radial artery. Cardiol Res. 2017; 8(2): 81–85.

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