PMC3232568_01
Frontal and lateral cineangiogram in the descending aorta demonstrating abrupt termination of contrast flow, and confirming the diagnosis of severe coarctation.
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F1
A 6F endhole catheter was advanced to the descending aorta where angiography confirmed the diagnosis of coarctation. (figures 1 and 2).
Angiogram as figure 1.
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F2
A 6F endhole catheter was advanced to the descending aorta where angiography confirmed the diagnosis of coarctation. (figures 1 and 2).
Left ventriculogram performed after trans-septal puncture, demonstrating patency of the aortic arch, with a tight coarctation.
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F3
Left ventricular angiography demonstrated patency of the coarctation (figure 3 - arrow).
The coarctation has been crossed with a long (260 cm) 0.035" guidewire, and a femoral arteriovenous loop established.
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F4
The wire was snared using a 20mm snare device (PFM, Germany) and exteriorised via the femoral artery, establishing a continuous arteriovenous guidewire loop (figure 4).
A Palmaz P4014 stent, mounted on a 20mm diameter (4 cm long) balloon is positioned across the coarctation, and optimal position confirmed by angiography.
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F5
A Palmaz P4014 stent (Johnson & Johnson, USA), mounted on a 20mm diameter balloon (Cordis, USA) was delivered to the coarctation (figure 5), and appropriately deployed (figures 6 and 7).
Stent inflation.
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F6
A Palmaz P4014 stent (Johnson & Johnson, USA), mounted on a 20mm diameter balloon (Cordis, USA) was delivered to the coarctation (figure 5), and appropriately deployed (figures 6 and 7).
Aortic angiography following stent deployment, confirming an excellent result.
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F7
A Palmaz P4014 stent (Johnson & Johnson, USA), mounted on a 20mm diameter balloon (Cordis, USA) was delivered to the coarctation (figure 5), and appropriately deployed (figures 6 and 7).