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 Double guide double wrist 5F left coronary artery transradial percutaneous coronary intervention and the X-Kiss technique

2016 ◽  
Vol 18 (3) ◽  
pp. 45-52 ◽  
Author(s):  
Dangoisse Vincent ◽  
Schroëder Erwin ◽  
Claude Hanet ◽  
Antoine Guédès ◽  
Pancholy Samir
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Left Coronary Artery ◽  
Coronary Intervention ◽  
Percutaneous Coronary

scholarly journals Percutaneous Coronary Intervention for High Takeoff Left Main Coronary Artery: A Case Report

2018 ◽  
Vol 03 (04) ◽  
pp. 237-239
Author(s):  
Seetharam Vankudoth ◽  
Madhurima Banoth
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Case Reports ◽  
Coronary Intervention ◽  
Anterior Wall ◽  
Left Main ◽  
Stent Restenosis ◽  
Percutaneous Coronary ◽  
The Right ◽  
Diagnostic Catheter ◽  
Guiding Catheter

AbstractPercutaneous coronary intervention (PCI) for high takeoff left main is challenging, as it poses difficulties with the engagement of the guiding catheter and establishment of backup support. This report examines the case of a 53-year-old woman with history of anterior wall myocardial infarction with a ventricular septal defect (VSD), who was treated with left anterior descending (LAD) angioplasty and VSD device closure done 4 years back, and now she presented with unstable angina. After successful engagement of 5F Tiger diagnostic catheter through a right radial artery, the angiography revealed an 80% stenosis of the proximal LAD and in-stent restenosis 70% of mid-LAD. The authors tried to engage the left coronary system through the right femoral artery with 6F Judkins left, 6F Amplatzer left, 6F EBU, and 6F XBU. They could not cannulate because of high takeoff left main, so they switched to right radial access. Then they engaged a 6F 3.5 EBU catheter. Due to the weak backup support of the guiding catheter, they used another wire to stabilize it and the stent was implanted successfully. This is one of the rare case reports of PCI for high takeoff left main.

scholarly journals Stenosis in single coronary artery originating from right sinus of valsalva: asymptomatic upto sixth decade of life

2018 ◽  
Vol 6 (9) ◽  
pp. 3189
Author(s):  
Kasam Subramanyam ◽  
Guru Kiran Dangeti ◽  
Rangaraj R. Ramalingam ◽  
Nagraj S. Moorthy
Keyword(s):  
Coronary Artery ◽  
Coronary Intervention ◽  
Single Coronary Artery ◽  
Sinus Of Valsalva ◽  
Coronary Anomalies ◽  
Anomalous Left Coronary Artery ◽  
Aortic Sinus ◽  
Percutaneous Coronary ◽  
Sixth Decade ◽  
Anomalous Left Coronary

Among all coronary anomalies, the prevalence of single coronary artery (SCA) originating from right sinus of Valsalva is 1.3%. Here, we report a rare case of a 60-years-old male serendipitously diagnosed with SCA originating from right aortic sinus with pre-pulmonic course of anomalous left coronary artery (LCA). His angiogram revealed 90% stenosis in distal right coronary artery with normal anomalous LCA. Thus, the patient was treated with percutaneous coronary intervention using a stent and was found stable post-procedure.

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.

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