Use of guideliner catheter for anomalous right coronary artery angiography and intervention.
نویسندگان
چکیده
We report a case of the use of the GuideLiner catheter during transfemoral diagnostic angiography and intervention of an anomalous right coronary artery (RCA) after unsuccessful attempts to cannulate the RCA with other catheters. The GuideLiner catheter was successfully employed to coaxially engage the ostium of the RCA. Thrombotic disease appeared to be responsible for non-ST elevation myocardial infarction. The GuideLiner catheter allowed visualization of the lesions and delivery of the stent in an anomalous RCA which could not have been otherwise coaxially engaged.
منابع مشابه
Successful percutaneous coronary intervention with GuideLiner® catheter for subtotal occlusive lesion in the right coronary artery with anomalous origin from the left sinus of Valsalva: a case report
INTRODUCTION Because of the unusual anatomy of an anomalous origin of the right coronary artery from the left sinus of Valsalva, selective cannulation of the guiding catheter in percutaneous coronary intervention for these cases is always challenging. CASE PRESENTATION A 58-year-old Japanese man was admitted to our hospital complaining of worsening exertional chest pain. He was suspected of h...
متن کاملSteam-deformed Judkins-left guiding catheter with use of the GuideLiner® catheter to deliver stents for anomalous right coronary artery
OBJECTIVE Percutaneous coronary intervention for anomalous right coronary artery (RCA) originating from the left coronary cusp is challenging because of our current inability to coaxially engage the guiding catheter. METHODS We report a case of an 88-year-old woman with non-ST segment elevation myocardial infarction, with an anomalous RCA origin. Using either the Judkins-Left catheter or Ampl...
متن کاملGuideLiner Catheter Use for Percutaneous Intervention Involving Anomalous Origin of a Single Coronary Trunk Arising from the Ascending Aorta
Cases in which an anomalous single coronary trunk arises from the ascending aorta are extremely rare. In percutaneous coronary intervention for the lesion of a coronary artery anomaly, several problems may occur, including selection of a guide catheter, insufficient backup force, and difficulties of stent delivery. The GuideLiner catheter, which is a coaxial guide extension having the advantage...
متن کاملTransradial anterograde recanalization of a totally occluded right coronary artery using a Guideliner catheter.
Chronic total occlusions (CTOs) are present in 15--30% of patients who undergo coronary angiography.1 The successful revascularization of a CTO is associated with a reduction in angina symptoms and better long-term survival. Percutaneous coronary interventions (PCIs) for CTO are currently performed with improving success rates and low complication rates.2 The use of the transfemoral arterial ap...
متن کاملSuccessful percutaneous coronary intervention with stent implantation in anomalous right coronary arteries arising from the left sinus of valsalva: a report of two cases.
Percutaneous coronary intervention (PCI) in an anomalous right coronary artery arising from the left sinus of valsalva can be technically challenging because of difficulty in selectively cannulating the vessel. We present two cases of successful stent implantation in an anomalous right coronary artery arising from the left sinus of valsalva. In both cases, we used an oversized 6 Fr Judkins left...
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ورودعنوان ژورنال:
- The Journal of invasive cardiology
دوره 25 1 شماره
صفحات -
تاریخ انتشار 2013