AI Article Synopsis
- Percutaneous coronary intervention for anomalous RCA is difficult due to guiding catheter engagement challenges.
- A case involved an 88-year-old woman experiencing a myocardial infarction with a tortuous RCA ostium, making traditional catheters hard to use.
- The procedure was successful using a deformed Judkins-Left catheter and the GuideLiner® for better support, allowing stenting of the anomalous RCA.
Article Abstract
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 Amplatz-Left catheter was difficult because of RCA ostium tortuosity. Thus, we used steam to deform the Judkins-Left catheter, but back-up support was insufficient to deliver the stent.
Results: We used GuideLiner®, a novel pediatric catheter with rapid exchange/monorail systems, to enhance back-up support.
Conclusions: We were able to successfully stent with both the deformed Judkins-Left guiding catheter and GuideLiner® for an anomalous RCA origin.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857309 | PMC |
| http://dx.doi.org/10.1177/2050313X15608339 | DOI Listing |
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