Journal: Indian Heart Journal

Article Title: Pigtail assisted tracking of guide catheter for navigating the difficult radial: Overcoming the “razor effect”

doi: 10.1016/j.ihj.2016.03.016

Figure Lengend Snippet: Pigtail assisted tracking (PAT) for overcoming the “razor-blade” effect. (a) Guide catheter loaded over 0.035″ guidewire. Note the wide free space between the inner lumen of guide catheter and guidewire. Sharp edge at guide catheter tip works like a “razor blade” (inset picture). (b) Pigtail catheter fills this wide free space and abolishes the “razor-blade” effect. Additionally, it works like the dilator of EBU guide catheter and helps in navigating the complex forearm vasculature. (c) “Pigtail catheter-EBU guide catheter assembly”; 5 Fr pigtail catheter inside the 6 Fr EBU guide catheter with both ends of pigtail catheter outside the guide catheter. This assembly resembles and works like any single guide catheter.

Article Snippet: But, 6 Fr EBU guide catheter (Launcher, Medtronic Inc., Minneapolis, USA) could not be negotiated through the radial artery loop.

Techniques:

Journal: Indian Heart Journal

Article Title: Pigtail assisted tracking of guide catheter for navigating the difficult radial: Overcoming the “razor effect”

doi: 10.1016/j.ihj.2016.03.016

Figure Lengend Snippet: Pigtail assisted tracking (PAT) of 6 Fr EBU guide catheter navigating the radial loop successfully. (a) “EBU-pigtail assembly” across the radial loop. Please note the smooth tapering from guide catheter to the pigtail catheter and from pigtail catheter to 0.035″ guidewire. (b) “EBU-pigtail assembly” navigating through the region of radial loop. (c) “EBU-pigtail assembly” in the ascending aorta.

Article Snippet: But, 6 Fr EBU guide catheter (Launcher, Medtronic Inc., Minneapolis, USA) could not be negotiated through the radial artery loop.

Techniques:

Journal: Indian Heart Journal

Article Title: Pigtail assisted tracking of guide catheter for navigating the difficult radial: Overcoming the “razor effect”

doi: 10.1016/j.ihj.2016.03.016

Figure Lengend Snippet: (a) Severe radial artery spasm (black arrow) persisting despite the multiple doses of cocktail. A 6 Fr EBU guide catheter was successfully navigated through the radial artery spasm segment using pigtail assisted tracking (PAT) technique. (b) Post procedure radial angiogram showing a total relief in the radial artery spasm and no damage to the radial artery.

Article Snippet: But, 6 Fr EBU guide catheter (Launcher, Medtronic Inc., Minneapolis, USA) could not be negotiated through the radial artery loop.

Techniques:

Journal: Indian Heart Journal

Article Title: Pigtail assisted tracking of guide catheter for navigating the difficult radial: Overcoming the “razor effect”

doi: 10.1016/j.ihj.2016.03.016

Figure Lengend Snippet: A 63-year-old diabetic female with radial artery tortuosity and atherosclerotic lesions (black arrow). A 6 Fr EBU guide catheter navigated the radial artery tortuosity using pigtail assisted tracking (PAT) technique leading to a successful completion of her primary angioplasty.

Article Snippet: But, 6 Fr EBU guide catheter (Launcher, Medtronic Inc., Minneapolis, USA) could not be negotiated through the radial artery loop.

Techniques: