5.5 Manual of PCI - Resistance to guidewire/catheter advancement via femoral access

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How approach resistance to guidewire of catheter advancement during attempts to reach and engage the coronary arteries via femoral access.
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Parrelel sheath technique. We use 6 f or less

amrhanafymahmoud
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Thank you for the information Sir. Would catheter advancement and manipulation in such tortuous vessels predispose to atherosclerotic emboli?

drgaganvelayudhan