DOI: 10.36347/sjmcr.2021.v09i01.002

Pages: 3-5

Catheter-based interventions have become the preferred choice of treatment for most of the cardiac ailments world over. Guiding catheters act as conduits for delivering different sophisticated hardware to the target lesion. Malfunction of these conduits can adversely affect the outcome of an interventional procedure. A 60 years old male presented with a history of 4 hours of chest pain. ECG was suggestive of an inferior wall myocardial infarction. Left sided angiogram with JL 4 diagnostic catheter revealed normal coronaries. Right coronary artery had a proximal lesion. After pre-dilatation of the lesion, difficulty was encountered in advancing stent due to development of kinks in the guiding catheter. These kinks were treated with serial dilatation with semi-compliant balloons (Guidoplasty). Following this Guidoplasty, the stent and post dilatation balloon could be advanced and the procedure completed successfully. We conclude that careful balloon dilatation of the guiding catheter can be used to facilitate the delivery of hardware through a kinked guiding catheter.