Inclusion Criteria - participants must be:
- scheduled for non-emergent, percutaneous coronary procedure in which the use of a guide catheter extension is anticipated
- able to provide informed consent to participate in the study
Exclusion Criteria - participants must not have:
- evidence of ongoing ST-elevation myocardial infarction (STEMI) or STEMI treatment for late presentation STEMI with index admission (stabilized acute coronary syndrome allowed)
- left ventricular ejection fraction <20%
- required intervention in a saphenous vein graft
- an intolerance or known allergy to medications/contrast expected to be used during the procedure or during hospital stay
- had a cardiac intervention within two weeks of the procedure
- renal insufficiency (serum creatinine of > 2.3 mg/dl)
- active gastrointestinal bleeding
- an active infection or fever (>37.8º C) that may be due to infection
- significant anemia (hemoglobin < 8.0 mg / dl)
- severe uncontrolled systemic hypertension (systolic press. > 240 mm Hg within the past month)
- a severe electrolyte imbalance
- congestive heart failure (NYHA Class IV)
- presented with an acute coronary syndrome where serum troponin concentrations have not been demonstrated to be declining prior to the scheduled procedure (within the past two weeks)
- uncontrolled diabetes (> 2 serum glucose concentrations of > 350 mg/dl within the past 7 days)
- participation in an investigational protocol
- unwillingness or inability to comply with any protocol requirements
- angina, or ischemia caused by occluded artery
- other clinical conditions, that in the opinion of the investigator significantly compromise the ability to perform a safe and/or effective procedure
Vulnerable Population Exclusion - participants must not be:
- under 18 years old
- pregnant or nursing
- immuno-compromised
- over 89 years old
- incapacitated, mentally compromised or otherwise incapable of understanding and/or providing informed consent (including emergency situations)