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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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
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author Kuno, Toshiki
Fujisawa, Taishi
Yamazaki, Hiroyuki
Motoda, Hiroyuki
Kodaira, Masaki
Numasawa, Yohei
author_facet Kuno, Toshiki
Fujisawa, Taishi
Yamazaki, Hiroyuki
Motoda, Hiroyuki
Kodaira, Masaki
Numasawa, Yohei
author_sort Kuno, Toshiki
collection PubMed
description 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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spelling pubmed-48573092016-08-03 Steam-deformed Judkins-left guiding catheter with use of the GuideLiner(®) catheter to deliver stents for anomalous right coronary artery Kuno, Toshiki Fujisawa, Taishi Yamazaki, Hiroyuki Motoda, Hiroyuki Kodaira, Masaki Numasawa, Yohei SAGE Open Med Case Rep Case Report 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. SAGE Publications 2015-10-08 /pmc/articles/PMC4857309/ /pubmed/27489700 http://dx.doi.org/10.1177/2050313X15608339 Text en © The Author(s) 2015 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Kuno, Toshiki
Fujisawa, Taishi
Yamazaki, Hiroyuki
Motoda, Hiroyuki
Kodaira, Masaki
Numasawa, Yohei
Steam-deformed Judkins-left guiding catheter with use of the GuideLiner(®) catheter to deliver stents for anomalous right coronary artery
title Steam-deformed Judkins-left guiding catheter with use of the GuideLiner(®) catheter to deliver stents for anomalous right coronary artery
title_full Steam-deformed Judkins-left guiding catheter with use of the GuideLiner(®) catheter to deliver stents for anomalous right coronary artery
title_fullStr Steam-deformed Judkins-left guiding catheter with use of the GuideLiner(®) catheter to deliver stents for anomalous right coronary artery
title_full_unstemmed Steam-deformed Judkins-left guiding catheter with use of the GuideLiner(®) catheter to deliver stents for anomalous right coronary artery
title_short Steam-deformed Judkins-left guiding catheter with use of the GuideLiner(®) catheter to deliver stents for anomalous right coronary artery
title_sort steam-deformed judkins-left guiding catheter with use of the guideliner(®) catheter to deliver stents for anomalous right coronary artery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857309/
https://www.ncbi.nlm.nih.gov/pubmed/27489700
http://dx.doi.org/10.1177/2050313X15608339
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