Steam-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 my...

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Detalles Bibliográficos
Autores principales: Kuno, Toshiki, Fujisawa, Taishi, Yamazaki, Hiroyuki, Motoda, Hiroyuki, Kodaira, Masaki, Numasawa, Yohei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857309/
https://www.ncbi.nlm.nih.gov/pubmed/27489700
http://dx.doi.org/10.1177/2050313X15608339
Descripción
Sumario: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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