Avoiding the “concertina” effect in PCI of a severely tortuous lad using the Suoh 03 wire: A case report
A 62-year-old woman with multiple cardiovascular risk factors presented with Canadian Cardiovascular Society Class III angina. In preparation for scheduled endovascular repair of the abdominal aorta, a preoperative coronary angiogram revealed a very tortuous left anterior descending (LAD) artery wit...
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| Format: | Article |
| Language: | English |
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Sciendo
2025-06-01
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| Series: | Romanian Journal of Cardiology |
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| Online Access: | https://doi.org/10.2478/rjc-2025-0021 |
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| author | Pascut Dan Tobli Ndricim Luani Blerim |
| author_facet | Pascut Dan Tobli Ndricim Luani Blerim |
| author_sort | Pascut Dan |
| collection | DOAJ |
| description | A 62-year-old woman with multiple cardiovascular risk factors presented with Canadian Cardiovascular Society Class III angina. In preparation for scheduled endovascular repair of the abdominal aorta, a preoperative coronary angiogram revealed a very tortuous left anterior descending (LAD) artery with tandem high-grade lesions in the mid-to-distal segments. Percutaneous coronary intervention (PCI) was performed using an ultra-soft Suoh 03 guidewire to minimize the anticipated risk of the concertina effect and reduce the likelihood of guidewire-induced dissection. The lesions were successfully pre-dilated and treated with drug-eluting stents, achieving complete revascularization without complications. This case highlights the strategic use of the Suoh 03 wire in navigating tortuous coronary anatomy and safely performing PCI in such challenging vascular conditions. |
| format | Article |
| id | doaj-art-c5836c7e5c604355ad2810dde7c5ee9c |
| institution | DOAJ |
| issn | 2734-6382 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Romanian Journal of Cardiology |
| spelling | doaj-art-c5836c7e5c604355ad2810dde7c5ee9c2025-08-20T03:17:57ZengSciendoRomanian Journal of Cardiology2734-63822025-06-0135214815110.2478/rjc-2025-0021Avoiding the “concertina” effect in PCI of a severely tortuous lad using the Suoh 03 wire: A case reportPascut Dan0Tobli Ndricim1Luani Blerim2Klinikum Ingolstadt, Ingolstadt, Bayern, GermanyKlinikum Ingolstadt, Ingolstadt, Bayern, GermanyKlinikum Ingolstadt, Ingolstadt, Bayern, GermanyA 62-year-old woman with multiple cardiovascular risk factors presented with Canadian Cardiovascular Society Class III angina. In preparation for scheduled endovascular repair of the abdominal aorta, a preoperative coronary angiogram revealed a very tortuous left anterior descending (LAD) artery with tandem high-grade lesions in the mid-to-distal segments. Percutaneous coronary intervention (PCI) was performed using an ultra-soft Suoh 03 guidewire to minimize the anticipated risk of the concertina effect and reduce the likelihood of guidewire-induced dissection. The lesions were successfully pre-dilated and treated with drug-eluting stents, achieving complete revascularization without complications. This case highlights the strategic use of the Suoh 03 wire in navigating tortuous coronary anatomy and safely performing PCI in such challenging vascular conditions.https://doi.org/10.2478/rjc-2025-0021tortuous coronary arteryconcertina effectsuoh 03 guidewirepercutaneous coronary interventioncomplex pci |
| spellingShingle | Pascut Dan Tobli Ndricim Luani Blerim Avoiding the “concertina” effect in PCI of a severely tortuous lad using the Suoh 03 wire: A case report Romanian Journal of Cardiology tortuous coronary artery concertina effect suoh 03 guidewire percutaneous coronary intervention complex pci |
| title | Avoiding the “concertina” effect in PCI of a severely tortuous lad using the Suoh 03 wire: A case report |
| title_full | Avoiding the “concertina” effect in PCI of a severely tortuous lad using the Suoh 03 wire: A case report |
| title_fullStr | Avoiding the “concertina” effect in PCI of a severely tortuous lad using the Suoh 03 wire: A case report |
| title_full_unstemmed | Avoiding the “concertina” effect in PCI of a severely tortuous lad using the Suoh 03 wire: A case report |
| title_short | Avoiding the “concertina” effect in PCI of a severely tortuous lad using the Suoh 03 wire: A case report |
| title_sort | avoiding the concertina effect in pci of a severely tortuous lad using the suoh 03 wire a case report |
| topic | tortuous coronary artery concertina effect suoh 03 guidewire percutaneous coronary intervention complex pci |
| url | https://doi.org/10.2478/rjc-2025-0021 |
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