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Relief of pseudostenosis using the transit exchange catheter
F David Fortuin1, John P Sweeney, Richard W Lee
1Division of Cardiology, Mayo Clinic Scottsdale, Clinic Hospital 1st Floor, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA. fortuin.david@mayo.edu
Abstract:
Pseudostenosis is a generally benign complication of percutaneous coronary intervention that is caused by the mechanical deformation of a tortuous artery by the guidewire. We describe two cases of a tortuous right coronary artery in which pseudostenosis was relieved by placing a Transit exchange catheter (Cordis) distally and subsequently removing the guidewire. This technique safely confirmed the diagnosis of pseudostenosis without losing guidewire position or requiring additional wires and balloons.
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