Use of a 0.014 in. guidewire for cannulation of left coronary ostium with a difficult anatomy.

We report a case with a difficult left coronary anatomy in which we were not able to cannulate the left coronary ostium with the standard catheters. However, cannulation was successful with the help of a 0.014 in.

Coronary artery perforation: a rare complication of coronary angiography.

We report perforation of two side branches of the right coronary artery during selective coronary angiography. We suppose that forceful injection of contrast into a non-dominant artery with severe proximal stenosis could have led to this complication. To the best of our knowledge this is the second reported case of coronary perforation during angiography.

Direct stenting in angiographically apparent thrombus-containing lesions.

The data regarding the potential benefits of direct stenting in the setting of angiographically apparent thrombus-containing lesions are scarce. The aim of this study was to evaluate the impact of direct stenting on the angiographic results in the setting of thrombus. We reviewed our institutional interventional database and identified 30 patients who had undergone stenting in the setting of angiographically apparent thrombus-containing lesions (33% unstable angina pectoris, 67% acute myocardial infarction).

A case of female epispadias without exstrophy treated with a novel vulvoplasty method.

Epispadias surgery has mainly two components: bladder and genitourethral reconstruction. Herein, a novel vulvoplasty method, an alternative for the latter component, carried out in a rare case of female epispadias was presented. In a 6-year-old girl admitted with complaint of total incontinence, epispadias without evident extrophy associated with adequate bladder capacity was determined.