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Updated: Aug 1, 2025

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease
Published on: February 18, 2020
"Catheter Hole Support": A Novel Technique for Increasing Guide Catheter Support
Fabricio Caied1, Emmanouil S Brilakis2, Cesar Medeiros1
1Instituto Nacional de Cardiologia-INC, Rio de Janeiro, RJ, Brazil.
Abstract:
Percutaneous coronary interventions (PCI) in the setting of tortuosity, calcification, and some types of coronary takeoffs can be challenging. In such cases, the choice of strategies that promote optimal catheter support is essential for the success of the procedure, by facilitating the delivery of the equipment. We have developed a new support technique: "Catheter Hole Support Technique" is a simple, low-cost, and widely available technique that effectively increases catheter support and system stability. To perform the technique, all that is needed is a hole in the catheter at the right spot, made by a 22G needle and a 0.018″ shapeable tip support guidewire. We report the steps of this new technique in a successful Right Coronary Artery (RCA) PCI, in the context of a non-ST-elevation myocardial infarction (NSTEMI).
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