scholarly journals An alternative approach in tortuous coronary artery and distal stenosis during transradial percutaneous coronary intervention: deep engagement by a 5-Fr guiding catheter

2012 ◽  
Vol 40 (2) ◽  
pp. 159-161
Author(s):  
Ziad Said Dahdouh
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Alternative Approach ◽  
Percutaneous Coronary ◽  
Guiding Catheter

scholarly journals Balloon-Anchored CoKatte® for Successfully Delivering Balloons for an Occluded Anomalous Right Coronary Artery

2018 ◽  
Vol 27 (04) ◽  
pp. 232-234
Author(s):  
Hiroyuki Hikita ◽  
Keiichi Hishikari ◽  
Atsushi Takahashi ◽  
Makoto Araki
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Intervention ◽  
Effort Angina ◽  
Percutaneous Coronary ◽  
Coronary Cusp ◽  
Guiding Catheter

AbstractPercutaneous coronary intervention (PCI) for anomalous right coronary artery (RCA), originating from the left coronary cusp is challenging, because of the difficulty in engaging the guiding catheter coaxially, and delivering balloons and stents. A 65-year-old man with effort angina underwent PCI for anomalous RCA. This report describes the method we used. Although, delivering the balloon was difficult in short of the guiding catheter's backup force, we finally succeeded by using one more guiding catheter and the balloon-anchored CoKatte®, a novel, straight 4.5-French child catheter, to strengthen the backup force.

scholarly journals Percutaneous Coronary Intervention for the Anomalous Left Coronary Artery Originating from the Noncoronary Cusp

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Toshiki Kuno ◽  
Yohei Numasawa ◽  
Toshiyuki Takahsashi
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Left Coronary Artery ◽  
Coronary Intervention ◽  
Anomalous Left Coronary Artery ◽  
Diffuse Plaque ◽  
Percutaneous Coronary ◽  
Diagnostic Catheter ◽  
Anomalous Left Coronary ◽  
Guiding Catheter

Percutaneous coronary intervention (PCI) for anomalous left coronary artery (LCA) originating from the noncoronary cusp (NCC) is challenging, as it poses difficulties with the engagement of the guiding catheter and the establishment of backup support. This report examines the case of a 69-year-old woman with unstable angina of anomalous LCA origin. The computed tomography showed a diffuse plaque in the middle of the left anterior descending (LAD) artery and an anomalous LCA originating from the NCC. After successful engagement of a straightened Judkins-Left diagnostic catheter, the angiography revealed a diffuse plaque in the middle of the LAD artery. We then engaged a Judkins-Right guiding catheter. Due to the weak backup support of the guiding catheter, we used another wire to stabilize it, and the stent was then implanted successfully. To our knowledge, this is the first case report of PCI for an anomalous LCA originating from the NCC.

scholarly journals Successful Percutaneous Coronary Intervention of an Anomalous Right Coronary Artery with High Anterior Takeoff Using TIG Catheter From Trans-Femoral Approach

2015 ◽  
Vol 4 ◽  
pp. 66
Author(s):  
Gaurav Tyagi ◽  
Ramin Assadi ◽  
Anthony Hilliard
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Intervention ◽  
Femoral Approach ◽  
Percutaneous Coronary ◽  
Unique Shape ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries ◽  
Guiding Catheter

<p>Background: Anomalous coronary arteries pose unique challenges in coronary interventions.</p><p>Case (Method &amp; Results): Here, we report a case of use of the TIGER guiding catheter for percutaneous coronary intervention of an anomalous right coronary artery (RCA) with high anterior takeoff from trans-femoral approach, after multiple failed attempts to cannulate RCA with other catheters.</p><p>Discussion (Conclusions): Unique shape of TIGER guiding catheter allowed coaxial engagement of anomalous RCA, adequate lesion assessment and stent delivery.</p>

Unprotected Left Main Coronary Artery Percutaneous Coronary Intervention-Our Experiences at a Tertiary Hospital

2014 ◽  
Vol 6 (2) ◽  
pp. 107-111
Author(s):  
S Munwar ◽  
AHMW Islam ◽  
S Talukder ◽  
AQM Reza ◽  
T Ahmed ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Coronary Intervention ◽  
Drug Eluting Stent ◽  
Bare Metal ◽  
Coronary Artery Diseases ◽  
Left Main ◽  
Percutaneous Coronary ◽  
Drug Eluting

Background: Aim of the study was to evaluate the primary procedural success of percutaneous coronary intervention of unprotected left main coronary artery stenosis using either Bare-metal stents or drug eluting stent. Methods: Total 33 patients were enrolled in this very preliminary non-randomized prospective cohort study. Among them, Male: 25 and Female: 8. Total 35 stents were deployed. Mean age were for Male: 59 yrs, for Female: 62 yrs. Associated coronary artery diseases risk factors were dyslipidemia, High Blood pressure, Diabetes Mellitus, Positive family history for coronary artery diseases and smoking. Results: Among the study group; 26 (78%) were Dyslipidemic, 24(70%) were hypertensive; 17 (51.5%) patients were Diabetic, 11(33%) were smoker and 7(21%) patients had family history of Ischaemic heart disease. Female patients were more obese (BMI M 26: F 27) and developed coronary artery diseases in advance age. Common stented territory were left main: 20 (60%), Left main to left anterior descending artery 7 (22%) and Left main to left circumflex artery 6 (18%). Average length and diameter of stent was 3.5 and 18 mm respectively. Stent used: Bare Metal Stent 5 (15%), Drug Eluting Stent: 28 (85%). Among the different Drug Eluting Stents, Everolimus eluting stents were 11 (39.3%), Sirolimus eluting 10(35.7%), Paclitaxel eluting 3 (10.7%), Biolimus eluting 3 (10.7%) and Zotarolimus eluting1 (3.6%). In the present study, overall survival outcome was 94% (31 patient), mortality of cardiac cause 3% (1 patient) and 1 patient (3%) died of hepatocellular carcinoma. Conclusion: Our study has shown that percutaneous coronary intervention of the unprotected left main is a safe and effective alternative to Coronary Artery Bypass Graft (CABG). DOI: http://dx.doi.org/10.3329/cardio.v6i2.18349 Cardiovasc. j. 2014; 6(2): 107-111

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