Related Experiment Video
Updated: Aug 3, 2026

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
Published on: May 26, 2015
Double Guide Catheter Technique for Sealing an Iatrogenic Coronary Perforation
Miguel Rodriguez-Santamarta1, Rodrigo Estevez-Loureiro1, Carlos Cuellas1
1Interventional Cardiology Unit, Division of Cardiology, University Hospital of Leon, Leon, Spain.
Introduction:
Coronary vessel perforation is one of the most feared complications of coronary angioplasty. The treatment of this complication relies mostly on the implantation of covered stents. However, due to their design, covered stents are difficult to advance in a tortuous or calcified vessel.
Case Presentation:
We present a case of a grade III coronary perforation in which the double guiding catheter technique helped us to deliver the graft stent.
Conclusions:
The double-guiding technique is useful in emergency situations to increase the safety and efficacy of sealing a coronary perforation.
Related Concept Videos
Cardiac Catheterization I: Pre-Procedure Overview
Cardiac Catheterization III: Left Heart Catheterization

