Anchor-balloon technique to facilitate stent delivery via the GuideLiner catheter in percutaneous coronary intervention

Future Cardiol. 2018 Jul;14(4):291-299. doi: 10.2217/fca-2017-0092. Epub 2018 Jun 21.

Abstract

Aim: The GuideLiner (GL) is a widely used catheter primarily in complex percutaneous coronary intervention (PCI). Deep seating of the GL and distal stent placement may be facilitated by the anchor-balloon technique (ABT).

Methods: We aimed to prospectively analyze procedural details, technical success, complications and in-hospital outcome in patients who underwent PCI using the GL catheter and the ABT.

Results: A total of 118 patients underwent PCI with the aid of the GL and ABT. Procedure success rate was 95% (112/118) and only seven patients (5.9%) encountered complications. ABT was indicated and successfully used in 29 patients (25%).

Conclusion: GL and ABT successfully aided stent delivery in unfavorable and heavily calcified lesions which otherwise may have been considered unsuitable for PCI.

Keywords: GuideLiner; anchor balloon; calcification; complex PCI; complications during PCI; interventional techniques; ischemic heart disease; percutaneous coronary interventions; stents; tortuous arteries.

MeSH terms

  • Aged
  • Cardiac Catheters*
  • Coronary Angiography
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Myocardial Ischemia / diagnostic imaging
  • Myocardial Ischemia / surgery*
  • Percutaneous Coronary Intervention / instrumentation
  • Percutaneous Coronary Intervention / methods*
  • Prospective Studies
  • Stents*
  • Treatment Outcome