Angioplasty technique: Nanto

A technique for changing a PTCA balloon catheter over a regular-length guidewire.
Nanto S, Ohara T, Shimonagata T, Hori M, Kubori S.
Cathet Cardiovasc Diagn. 1994 Jul;32(3):274-7.
Abstract
In 100 patients who underwent coronary angioplasty with more than one balloon catheter for a lesion, these over-the-wire balloon catheters were changed by using a regular-length guidewire. In order to change to another balloon, the inflation device was connected to the central guide wire lumen of the catheter after pulling back the catheter until the proximal end of the regular length guide wire disappeared. By pulling back the balloon catheter from the guiding catheter by applying a pressure with the inflation device, the balloon was taken out of the guiding catheter leaving the wire in the coronary artery. One hundred forty-nine of 163 attempted procedures were completed successfully. Our technique helped in performing a fast, safe, and reliable changing procedure compared to the procedure with an extended guidewire.

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