Guiding Catheter Selection for Coronary Interventions

Guiding Catheter Selection for Coronary Interventions
Guiding Catheter Selection for Coronary Interventions
1 All of the following catheter selections can be
expected to reliably provide backup for coronary
interventions on the left coronary artery with
significant tortuosity or calcification, except:
(A) XB3.5
(B) EBU4
(C) AL2
(D) JL4
(E) None of the above
2 Guide catheter selections appropriate for treatment
of lesions located in an anomalous circumflex that
arises from the right coronary cusp are most likely
achieved with all the following catheters, except:
(A) JR4
(B) Multipurpose A curve
(C) Short right JR4
(D) The Leya catheter (which is a left Amplatz 1 or 2
modified with an anterior deflection of the distal
catheter tip)
(E) All of the above can be useful for cannulation of
the anomalous circumflex
3 Catheters that can be used to treat the anomalous
right coronary artery (RCA) originating from the left
coronary cusp include all of the following, except:
(A) JR4
(B) The Leya family of catheters
(C) The Judkins left family of catheters
(D) The left Amplatz family of catheters
(E) None of the above
4 Treatment of left anterior descending (LAD) lesions
that are located in the mid and distal segments of the
LAD through a tortuous left internal mammary artery
(LIMA) are most likely to be managed effectively
with:
(A) 100 cm IM catheter
(B) 90 cm IM catheter
(C) Right Judkins 100 cm catheter
(D) Right Judkins 90 cm catheter
(E) None of the above
49
50 900 Questions: An Interventional Cardiology Board Review
Guiding Catheter Selection for Coronary Interventions
5 The ‘‘crushed’’ stent technique, which has been
described for the treatment of bifurcation of lesions,
involves the simultaneous introduction of a primary
stent in the parent vessel and a secondary stent
in the side branch. The following guide catheter
selection provides the minimum diameter required
to accomplish a ‘‘crushed’’ stent technique using any
commercially available drug-eluting stent (DES) in
the United States.
(A) A 6 French standard lumen guide catheter
(B) A 7 French standard lumen guide catheter
(C) An 8 French standard diameter lumen catheter
(D) A 7 French large lumen diameter catheter
(E) An 8 French large lumen diameter catheter
6 Common guider strategies that can be employed
to treat right coronary posterolateral branch lesions
that are observed to be quite distal from the right
coronary origin include all of the following, except:
(A) ‘‘Deep seating’’ of a 6 French JR 4 catheter into
the mid or distal RCA because of the trauma
transmitted to the vessel wall
(B) Use of an AL1 standard guiding catheter to
cannulate the proximal RCA and provide extra
backup because the left Amplatz shape does not
fit the right coronary
(C) Use of an AL2 guiding catheter to cannulate the
proximal RCA and provide extra backup because
only the AL1 shape can be used to cannulate the
right coronary
(D) Use of the hockey stick shape to provide extra
backup
(E) Use of a JR4 guiding catheter in the standard
ostial right position
7 The largest rotablator burr that can be delivered
through a standard 8 French Cordis catheter is a:
(A) 1.5-mm burr
(B) 1.75-mm burr
(C) 2-mm burr
(D) 2.15-mm burr
(E) 2.25-mm burr
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