Case Report

Novel Use of the GuideLiner Catheter to Deliver Rotational Atherectomy Burrs in Tortuous Vessels

Figure 3

Rotablation of a diffusely calcific tortuous RCA with 7 Fr. GuideLiner. (a) Diffusely calcific RCA showing ostial, mid., and distal severe calcific lesions. (b) Rotablation of the proximal to mid-RCA with difficulty in advancing the Rota. burr in the distal vessel. (c) Advancement of a 1.5 mm burr to the distal RCA through a 7 Fr. GuideLiner. (d) Successful lesion expansion with a noncompliant balloon after rotablation. (e) Final angiographic result with distal to ostial drug eluting stents.
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(a)
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(b)
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(c)
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(d)
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(e)