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


  • Gaurav Tyagi Loma Linda University
  • Ramin Assadi Loma Linda University
  • Anthony Hilliard Loma Linda University



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.

Author Biography

Gaurav Tyagi, Loma Linda University

Fellow, Department of Cardiology.


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