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European Heart Journal 1992 13(5):655-660;
Copyright © 1992 by the European Society of Cardiology.
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© 1992 The European Society of Cardiology

A prospective study on percutaneous coronary angioscopy with different guiding techniques in patients with coronary heart disease*

D. FRANZEN, H. W. HÖPP, J. KORSTEN and H. H. HILGER

Department of Medicine (III), University of Cologne Germany

Received 2 January 1991; revised 24 June 1991; .

Correspondence: Damian Franzen, Klinik III für Innere Median, Univer-sitätskhniken, J.-Stelzmannstr. 9, 5000 Köln 41, Germany.

Abstract

The technical success of percutaneous coronary angioscopy using different guiding techniques was evaluated in 17 patients before (n = 17) and after (n = 8) coronary angioplasty. Steering the angioscope along or over a guidewire was successful in both groups; failures were predominantly due to insufficient alignment of the angioscope using along-the-wire guiding. Although over-the-wire angioscopy promises superior guiding and alignment capabilities, several technical problems remain unsolved.

Key Words: Angioscopy • coronary heart disease


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