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

2015 ◽  
Vol 4 ◽  
pp. 66
Author(s):  
Gaurav Tyagi ◽  
Ramin Assadi ◽  
Anthony Hilliard
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Intervention ◽  
Femoral Approach ◽  
Percutaneous Coronary ◽  
Unique Shape ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries ◽  
Guiding Catheter

<p>Background: Anomalous coronary arteries pose unique challenges in coronary interventions.</p><p>Case (Method &amp; 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.</p><p>Discussion (Conclusions): Unique shape of TIGER guiding catheter allowed coaxial engagement of anomalous RCA, adequate lesion assessment and stent delivery.</p>

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.

Percutaneous Coronary Intervention in Different Anomalous Coronary Arteries - An Observational Study

2012 ◽  
Vol 8 (1) ◽  
pp. 20-25
Author(s):  
Mir Jamal Uddin ◽  
Mohammad Safiuddin ◽  
Md Ibrahim Khalil ◽  
Khandaker Qamrul Islam ◽  
Kajal Kumar Karmoker ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Arteries ◽  
Coronary Intervention ◽  
Anomalous Coronary Artery ◽  
Percutaneous Coronary ◽  
Abnormal Coronary Artery ◽  
Clinically Significant ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

Anomalous coronary arteries are uncommon but clinically significant, depending upon its ostial origin, course & distribution such patient may be asymptomatic or may present with angina, acute myocardial infarction, arrythmias, syncope & sudden cardiac death. Management of such cases may be medical, interventional & surgical as well. Some times it is difficult to cannulate such anomalous origin with conventional guiding catheters and requires different catheters unusual for such arteries. Between January 2002 to June 2012 a total of 3,110 elective PCI procedure were performed in NICVD & other cardiac centers in Dhaka, out of which twentyone cases were in different varities of anomalous coronary artery. We report here successful PCI in twenty-one cases having eight verities of abnormal coronary artery with failure in one case. Percutaneous coronary intervention of anomalous coronary artery origins may be difficult, which require appropriate catheter selection and different tricks. Success depends on patience and careful decision of the operator. DOI: http://dx.doi.org/10.3329/uhj.v8i1.11663 University Heart Journal Vol. 8, No. 1, January 2012

scholarly journals Unnecessary PCI Attempt for Presumed CTO Which Was Revealed To Be Anomalous Coronary Arteries – Role of Coronary CT Angiography

2020 ◽  
Vol 23 (5) ◽  
pp. E665-E667
Author(s):  
Hyungdon Kook ◽  
Jin-Ho Choi ◽  
Hyun Jong Lee ◽  
Cheol Woong Yu
Keyword(s):  
Coronary Artery ◽  
Coronary Arteries ◽  
Right Coronary Artery ◽  
Chronic Total Occlusion ◽  
Coronary Intervention ◽  
Total Occlusion ◽  
Percutaneous Coronary ◽  
The Right ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

Herein, we present a brief case of anomalous coronary arteries mistaken to be chronic total occlusion. Since we first presumed the anomalous coronary arteries to be chronic total occlusion of the distal right coronary artery, percutaneous coronary intervention was attempted for the presumed lesion, but it failed. Before the second attempt of percutaneous coronary intervention, coronary computed tomography angiography revealed the coronary artery from the left anterior descending artery corresponding with the distal part of the right coronary artery without connection to the right coronary artery. Therefore, we recognized the patient had anomalous coronary arteries with no connection of the vascular wall between the main and distal segments of the right coronary artery. This case may give insights to the importance of meticulous examination of coronary computed tomography angiography imaging before chronic total occlusion percutaneous coronary intervention to avoid the unnecessary procedure.

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