Successful Percutaneous Coronary Intervention of an Anomalous Right Coronary Artery with High Anterior Takeoff Using TIG Catheter From Trans-Femoral Approach
DOI:
https://doi.org/10.17987/icfj.v4i0.137Abstract
Background: Anomalous coronary arteries pose unique challenges in coronary interventions.
Case (Method & 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.
Discussion (Conclusions): Unique shape of TIGER guiding catheter allowed coaxial engagement of anomalous RCA, adequate lesion assessment and stent delivery.
References
Kimbiris D, Iskandrian AS, et al. Anomalous aortic origin of coronary arteries. Circulation. 1978;58(4):606-615.
Topaz O, DiSciascio G, Goudreau E, et al. Coronary angioplasty of anomalous coronary arteries: notes on technical aspects. Cathet Cardiovasc Diagn. 1990;21(2):106-111.
Musial B, Schob A, de Marchena E, et al. Percutaneous transluminal coronary angioplasty of anomalous right coronary artery. Cathet Cardiovasc Diagn 1991;22(1):39–41.
Sarkar K, Sharma SK, Kini AS. Catheter selection for coronary angiography and intervention in anomalous right coronary arteries. J Interv Cardiol. 2009;22(3):234-239.
Khambekar S, Hudson I, Kovac J. Percutaneous coronary intervention to anomalous right coronary artery and retained piece of guidewire in the coronary vasculature. J Interv Cardiol. 2005;18(3):201-204.
Komatsu T, Yaguchi I, Yufu T. Successful percutaneous coronary intervention of an anomalous right coronary artery with high anterior takeoff using a DIO thrombus aspiration catheter. J Invasive Cardiol. 2012 Sep;24(9):E185-7.
Ramanathan PK, Redfern R. Use of guideliner catheter for anomalous right coronary artery angiography and intervention. J Invasive Cardiol. 2013 Jan;25(1):E20-2.
Lee BI, Gist HC Jr, Morris EI. Percutaneous coronary artery stenting of an anomalous right coronary artery with high anterior takeoff using standard size 7 French left Judkins guiding catheters. J Invasive Cardiol. 2003 Nov;15(11):682-4.
Olympios CD, Sifaki MD, Lembidakis EG, Pissimissis EG, Fakiolas CN. Coronary Stenting of an Anomalous Right Coronary Artery. J Invasive Cardiol. 1998 Jul;10(6):342-345.
Cohen MG, Tolleson TR, Peter RH, Harrison JK, Sketch MH Jr. Successful percutaneous coronary intervention with stent implantation in anomalous right coronary arteries arising from the left sinus of valsalva: a report of two cases. Catheter Cardiovasc Interv. 2002 Jan;55(1):105-8.
Kim SM, Kim DK, et al. Novel diagnostic catheter specifically designed for both coronary arteries via the right transradial approach. A prospective, randomized trial of Tiger II vs. Judkins catheters. Int J Cardiovasc Imaging. 2006 Jun-Aug;22(3-4):295-303. Epub 2005 Nov 22.
Ochiai M, Ikari Y, Yamaguchi T, Isshiki T, Koyama Y, Eto K, Takeshita S, Tamura T, Sato T. New long-tip guiding catheters designed for right transradial coronary intervention. Cathet Cardiovasc Intervent 2000; 49: 218–224.
Shewan LG, Coats AJS, Henein M. Requirements for ethical publishing in biomedical journals. International Cardiovascular Forum Journal 2015;2:2 DOI: 10.17987/icfj.v2i1.4
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