Dual Access Rapid Trap for Augmentation of Guide Catheter Support in the Left Coronary System

Adam Z. Spitz; Augustin J. Delago; Jason Wollmuth; Eric S. Rothstein

doi:10.1016/j.jscai.2024.102240

Dual Access Rapid Trap for Augmentation of Guide Catheter Support in the Left Coronary System

Adam Z. Spitz
, Augustin J. Delago
, Jason Wollmuth
, Eric S. Rothstein

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Coaxial trapping of guide extension catheters within a coronary artery allows for maximal support in delivering equipment; however, use of this technique within the left main coronary artery has been avoided due to concerns surrounding hemodynamic instability and vessel injury. We describe our initial experience with impromptu coaxial trapping of guide extension catheters within the left main coronary artery using the dual access rapid trap (DART) technique. Coaxial trapping of guide extension catheters within the left main coronary artery using DART enabled successful equipment delivery across balloon-uncrossable lesions. This case demonstrates that DART is a safe and effective method for equipment delivery across balloon-uncrossable lesions and may aid operators in safely solving complex cases.

Original language	English
Article number	102240
Journal	Journal of the Society for Cardiovascular Angiography and Interventions
Volume	3
Issue number	9
DOIs	https://doi.org/10.1016/j.jscai.2024.102240
State	Published - Sep 2024

Keywords

complex high-risk indicated procedure
percutaneous coronary intervention
stenting technique

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10.1016/j.jscai.2024.102240

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title = "Dual Access Rapid Trap for Augmentation of Guide Catheter Support in the Left Coronary System",

abstract = "Coaxial trapping of guide extension catheters within a coronary artery allows for maximal support in delivering equipment; however, use of this technique within the left main coronary artery has been avoided due to concerns surrounding hemodynamic instability and vessel injury. We describe our initial experience with impromptu coaxial trapping of guide extension catheters within the left main coronary artery using the dual access rapid trap (DART) technique. Coaxial trapping of guide extension catheters within the left main coronary artery using DART enabled successful equipment delivery across balloon-uncrossable lesions. This case demonstrates that DART is a safe and effective method for equipment delivery across balloon-uncrossable lesions and may aid operators in safely solving complex cases.",

keywords = "complex high-risk indicated procedure, percutaneous coronary intervention, stenting technique",

author = "Spitz, \{Adam Z.\} and Delago, \{Augustin J.\} and Jason Wollmuth and Rothstein, \{Eric S.\}",

note = "Publisher Copyright: {\textcopyright} 2024 The Author(s)",

year = "2024",

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language = "English",

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AU - Delago, Augustin J.

AU - Wollmuth, Jason

AU - Rothstein, Eric S.

PY - 2024/9

Y1 - 2024/9

N2 - Coaxial trapping of guide extension catheters within a coronary artery allows for maximal support in delivering equipment; however, use of this technique within the left main coronary artery has been avoided due to concerns surrounding hemodynamic instability and vessel injury. We describe our initial experience with impromptu coaxial trapping of guide extension catheters within the left main coronary artery using the dual access rapid trap (DART) technique. Coaxial trapping of guide extension catheters within the left main coronary artery using DART enabled successful equipment delivery across balloon-uncrossable lesions. This case demonstrates that DART is a safe and effective method for equipment delivery across balloon-uncrossable lesions and may aid operators in safely solving complex cases.

AB - Coaxial trapping of guide extension catheters within a coronary artery allows for maximal support in delivering equipment; however, use of this technique within the left main coronary artery has been avoided due to concerns surrounding hemodynamic instability and vessel injury. We describe our initial experience with impromptu coaxial trapping of guide extension catheters within the left main coronary artery using the dual access rapid trap (DART) technique. Coaxial trapping of guide extension catheters within the left main coronary artery using DART enabled successful equipment delivery across balloon-uncrossable lesions. This case demonstrates that DART is a safe and effective method for equipment delivery across balloon-uncrossable lesions and may aid operators in safely solving complex cases.

KW - complex high-risk indicated procedure

KW - percutaneous coronary intervention

KW - stenting technique

UR - https://www.scopus.com/pages/publications/85200253066

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DO - 10.1016/j.jscai.2024.102240

M3 - Article

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AN - SCOPUS:85200253066

SN - 2772-9303

VL - 3

JO - Journal of the Society for Cardiovascular Angiography and Interventions

JF - Journal of the Society for Cardiovascular Angiography and Interventions

IS - 9

M1 - 102240

ER -

Dual Access Rapid Trap for Augmentation of Guide Catheter Support in the Left Coronary System

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