Initial Experience With a Magnetic Navigation System for Percutaneous Coronary Intervention in Complex Coronary Artery Lesions
Satya Reddy Atmakuri, MD*,
Eli I. Lev, MD ,
Carlos Alviar, MD*,
Edward Ibarra, RRT ,2,
Albert E. Raizner, MD ,1,
Stuart L. Solomon, MD and
Neal S. Kleiman, MD ,1,*
* Baylor College of Medicine, Houston, Texas.
Methodist DeBakey Heart Center, Houston, Texas.

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Figure 1 Cardiac catheterization suite with magnetic navigation system.
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Figure 2 Operator interface depicting coronary angiograms and tools for magnetic-assisted navigation.
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Figure 3 An example of successful magnetic-assisted intervention (MAI) in a tortuous saphenous venous graft.
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Figure 4 Angiogram depicting successful guidewire placement using magnetic-assisted intervention (MAI) in the circumflex coronary artery with severely angulated takeoff at the origin.
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Figure 5 Example of successful placement of guidewire in a native coronary artery using a retrograde approach through a saphenous vein graft in a patient with coronary artery bypass surgery. In this case, the wire could be placed but the operator was unable to position a balloon in the target segment beyond the acute bend at the vein graft anastomosis. MAI = magnetic-assisted intervention.
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