{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T19:49:09Z","timestamp":1790279349960,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,12,23]],"date-time":"2015-12-23T00:00:00Z","timestamp":1450828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the utility and safety of the GuideLiner \u201cmother\u2010and\u2010child\u201d catheter system during transradial and transfemoral percutaneous coronary intervention (PCI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>In patients with complex coronary anatomy, stent delivery can be challenging and result in procedural failure and complications. The GuideLiner is a coaxial guide extension system designed to enable deep vessel engagement and facilitate device delivery. The purpose of this study was to evaluate procedural success and safety in a series of GuideLiner\u2010facilitated PCI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Single center retrospective study of PCI utilizing the GuideLiner catheter between February 2010 and October 2014. Patients who underwent PCI without GuideLiner use during the same time period were used as controls for comparison.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 363 cases of GuideLiner\u2010facilitated PCI were identified from 6,088 unique PCI procedures performed during this same time period. Patients in the GuideLiner group were older (mean age 71.5 vs. 67.8, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and had more multivessel disease (72% vs. 63%, <jats:italic>P<\/jats:italic>\u2009=\u20090.001) compared with controls. Type C lesions were present in 78% of GuideLiner cases. Procedural success resulting in successful device delivery with the GuideLiner catheter was 80.2%. Stent deformation associated with GuideLiner use occurred in 2.2% (8\/363), with the incidence of this complication decreasing over device iterations. Coronary dissection attributed to GuideLiner occurred in 3.3% (12\/363) and became less frequent over the study period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this consecutive series of GuideLiner supported PCI, the guide extension system enabled procedural success in the majority. A decline in device\u2010associated complications over time may be attributed to operator learning curve, patient selection, and improvement in catheter design. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26329","type":"journal-article","created":{"date-parts":[[2015,12,23]],"date-time":"2015-12-23T13:44:46Z","timestamp":1450878286000},"page":"1057-1065","source":"Crossref","is-referenced-by-count":18,"title":["Experience and complications associated with use of guide extension catheters in percutaneous coronary intervention"],"prefix":"10.1002","volume":"88","author":[{"given":"Thomas M.","family":"Waterbury","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Diseases Department of Internal Medicine Mayo Clinic Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Sorajja","sequence":"additional","affiliation":[{"name":"Minneapolis Heart Institute, Abbott Northwestern Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malcolm R.","family":"Bell","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Department of Internal Medicine Mayo Clinic Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Lennon","sequence":"additional","affiliation":[{"name":"Division of Biomedical Statistics and Informatics Mayo Clinic Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verghese","family":"Mathew","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Department of Internal Medicine Mayo Clinic Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandeep","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Department of Internal Medicine Mayo Clinic Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gurpreet S.","family":"Sandhu","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Department of Internal Medicine Mayo Clinic Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajiv","family":"Gulati","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Department of Internal Medicine Mayo Clinic Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,12,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22458"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2011.00671.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22942"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.23232"},{"key":"e_1_2_6_6_1","first-page":"495","article-title":"The guideliner \u201cchild\u201d catheter for percutaneous coronary intervention\u2014Early clinical experience","volume":"22","author":"Kumar S","year":"2010","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12040"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.23331"},{"key":"e_1_2_6_9_1","first-page":"370","article-title":"Challenges associated with use of the guideliner catheter in percutaneous coronary interventions","volume":"24","author":"Papayannis A","year":"2012","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.23261"},{"key":"e_1_2_6_11_1","first-page":"E77","article-title":"Guideliner microcatheter to improve back\u2010up support during a complex coronary stenting procedure through a tortuous left internal mammary graft","volume":"24","author":"Park C","year":"2012","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_6_12_1","first-page":"E40","article-title":"Use of the guideliner catheter for the treatment of a bifurcational total occlusion of the native left anterior descending artery through a tortuous composite venous graft","volume":"23","author":"Hanna E","year":"2011","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24864"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20449"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.82.4.1193"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198504043121437"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV5I2A41"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.26329","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.26329","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.26329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T03:50:31Z","timestamp":1696650631000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.26329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,23]]},"references-count":16,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.1002\/ccd.26329"],"URL":"https:\/\/doi.org\/10.1002\/ccd.26329","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,23]]}}}