ArticleCureus2025
Optimizing Guide Extension Catheter Advancement in Percutaneous Coronary Intervention: A Stepwise Approach Enhanced by Repeated Proximal to Distal Balloon Anchoring.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Safety and efficacy of a novel traction balloon technique for guide-extension advancement in complex coronary interventions: a case series.American journal of cardiovascular disease · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The advancement of drug-eluting stents (DES) to distal, severely calcified, and tortuous coronary artery lesions presents a significant challenge in interventional cardiology. Techniques such as extra-backup catheters, buddy wires, and guiding extension catheters are commonly employed to overcome these difficulties. When these conventional methods fail, the stepwise approach enhanced by repeated proximal to distal balloon anchoring helps advance the guiding extension catheter deep into the coronary artery, allowing the delivery of DES to the distal calcified lesions even in tortuous arteries, and serves as an effective bailout strategy. The stepwise approach enhanced by repeated proximal to distal balloon anchoring is used to overcome difficulties in DES delivery. It allows deep advancement of the guiding extension catheter into the coronary artery over the shaft of the anchored (inflated) balloon, facilitating DES delivery. This case report details the percutaneous coronary intervention (PCI) of the right coronary artery (RCA) in a 69-year-old male patient with multiple severe diffuse calcified stenosis. Despite initial attempts with a Judkins right curve (JR4) 6 French guiding catheter (Medtronic, Inc., Minneapolis, MN) and a buddy wire technique, DES delivery was unsuccessful, given that the guiding catheter support was unstable when the DES was advanced into the artery. Thus, to facilitate DES delivery, a guiding extension catheter was used, but it failed to advance into the RCA. However, using the stepwise approach with repeated proximal to distal balloon anchoring allowed deep advancement of the guiding extension catheter into the RCA over the anchored (inflated) balloon shaft. This anchored balloon technique was done three times starting at the proximal part of the RCA and advancing the guiding extension catheter to proximal, mid, and finally distal part of the vessel, ultimately allowing the successful placement of three DES from the distal to the proximal part of the vessel, demonstrating the technique's efficacy in overcoming complex anatomical challenges. At the end of the procedure, all lesions were successfully stented with no residual stenosis and a thrombolysis in myocardial infarction (TIMI) III flow in the RCA, and the patient was stable hemodynamically with no chest pain.
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Registered trials
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