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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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References

Butera, G. Case report telescopic catheter-In-Long sheath and parallel to a stiff guide wire technique for complex pulmonary artery anatomy. Catheter Cardiovasc Interv 2012; 80: 673–677. DOI 10.1002/ccd.23447.CrossRefGoogle ScholarPubMed
Brown, SC, Boshoff, DE, Eyskens, B, Martens, L, Gewilig, M. Use of a microcatheter in a telescopic system to reach difficult targets in complex congenital heart disease. Catheter Cardiovasc Interv 2009; 73: 676–681. DOI 10.1002/ccd.21888.CrossRefGoogle Scholar
Okazaki, M, Higashihara, H, Koganemaru, F, Ono, H, Hoashi, T, Kimura, T. A coaxial catheter and steerable guidewire used to embolize branches of the splanchnic arteries. Am J Roentgenol 1990; 155: 405–406. DOI 10.2214/ajr.155.2.2115275.CrossRefGoogle ScholarPubMed
Klow, N-E, Paulsen, D, Vatne, K, Rokstad, B, Lien, B, Faulchald, P. Percutaneous transluminal renal artery angioplasty using the coaxial technique. Acta Radiol 1998; 39: 594–603. DOI 10.3109/02841859809175483.CrossRefGoogle ScholarPubMed
Geijer, H, Ka, A. Coaxial technique for catheterization of the coronary arteries with a very dilated ascending aorta. Catheter Cardiovasc Interv 2004; 62: 32–34. DOI 10.1002/ccd.20028.CrossRefGoogle ScholarPubMed
Yuksel, UC. Percutaneous closure of a postero-medial mitral paravalvular leak : The triple telescopic system. Catheter Cardiovasc Interv 2011; 77: 281–285. DOI 10.1002/ccd.22659.CrossRefGoogle ScholarPubMed
Haas, NA, Pozza, RD, Fischer, M, Ulrich, S, Jakob, A, Lehner, A. Microcatheter-assisted stenting of the tortuous vertical ductus arteriosus via femoral access in a duct-dependent pulmonary circulation. Int J Cardiol 2019; 285: 103–107. DOI 10.1016/j.ijcard.2019.01.062.CrossRefGoogle Scholar