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Super telescopic catheter system parallel to a contralateral stiff guide wire to cross extremely complex pulmonary arteries

Published online by Cambridge University Press:  28 April 2022

Enrico Piccinelli Open the ORCID record for Enrico Piccinelli [Opens in a new window] ,
Carles Bautista-Rodriguez Open the ORCID record for Carles Bautista-Rodriguez [Opens in a new window]  and
Alain Fraisse
Enrico Piccinelli
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, UK National Heart and Lung Institute, Imperial College London, London, UK
Carles Bautista-Rodriguez
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, UK National Heart and Lung Institute, Imperial College London, London, UK
Alain Fraisse*
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, UK National Heart and Lung Institute, Imperial College London, London, UK
*
Corresponding author: Alain Fraisse, Email: A.Fraisse@rbht.nhs.uk
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Abstract

Access to complex stenotic pulmonary arteries can be challenging due to their anatomy or secondary to prior multiple surgeries and interventions. Two techniques have been previously described to address this issue: the telescopic catheter-in-long sheath parallel to a stiff guidewire technique and the use of a microcatheter in a telescopic scope. We integrated and modified these techniques creating a super telescopic system with a SuperCross® microcatheter-in-catheter-in-long sheath, parallel to a contralateral stiff guidewire to access a previously repaired and stented left pulmonary artery. The stiff wire support and the 90° flexiblity of the Supercross® microcatheter assembled coaxial to the diagnostic catheter and the long sheath contributed to the successful ballooning and stenting-in-stent of the pulmonary artery.

Keywords

Complex congenital heart diseasetranscatheter interventionbranch pulmonary artery stenosisstenting
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 10 , October 2022 , pp. 1701 - 1703
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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