Abstract

GuideLiner (Vascular Solutions Inc., USA), GuideZila (Boston Scientific, USA) and Heartrail (Terumo, Japan) are the guide extension or mother-in-child catheters, which enhances guide support and therefore ease device delivery in tortuous, calcified vessels. In cases when the GuideLiner catheter cannot be advanced even with balloon anchoring technique, we slided the GuideLiner over inflated semi-compliant at medium pressure, facilitating its tracking over the workhorse wire through tortuous and balloon anchoring technique. Here, we describe a technique called BaLloon Assisted Sliding and Tracking of GuideLiner (BLAST-G) to successfully deliver the stent in proximal left anterior descending artery in a 73-year-old female patient suffering from chronic stable angina.

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