English Polski
Vol 14, No 2 (2019)
Case report
Published online: 2019-05-22

open access

Page views 980
Article views/downloads 748
Get Citation

Connect on Social Media

Connect on Social Media

Trans-femoral percutaneous coronary intervention in an anomalous right coronary artery using a 5 F TIG diagnostic catheter

Santosh Kumar Sinha1, Sunil Tripathy1, Kumar Himanshu1, Mahmodulla Razi1, Puneet Aggarwal1, Vinay Krishna1
Folia Cardiologica 2019;14(2):174-178.

Abstract

Anomalous coronary arteries, especially when they are right with a high take-off, are challenging substrates for percuta- neous coronary intervention (PCI). Here, we report the case of a 63 year-old female who had a critical lesion in proximal anomalous right coronary artery having an abnormal take-off, where the ostium failed to get cannulated using multiple guiding catheters. Successful PCI was done using a 5 F TIG diagnostic catheter (Optitorque, Terumo, Japan) through the transfemoral route. The unique shape of the TIG diagnostic catheter allowed coaxial engagement of anomalous right coronary artery, with adequate lesion assessment and stent delivery. 

Article available in PDF format

View PDF Download PDF file

References

  1. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 1990; 21(1): 28–40.
  2. Kimbiris D, Iskandrian AS, Segal BL, et al. Anomalous aortic origin of coronary arteries. Circulation. 1978; 58(4): 606–615.
  3. 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.
  4. Datta G, Rai DP. Abnormal origin of right coronary artery and use of Tiger catheter through femoral route. Indian Heart J. 2016; 68(1): 102–105.
  5. Tyagi G, Assadi R, Hilliard A. Successful Percutaneous Coronary Intervention of an Anomalous Right Coronary Artery with High Anterior Takeoff Using TIG Catheter From Trans-Femoral Approach. International Cardiovascular Forum Journal. 2015; 4: 66.
  6. Salinger MH, Kern MJ. Diagnostic Catheter as a Guiding Catheter for Percutaneous Transluminal Coronary Angioplasty. Cath Cardiovasc Diagn. 1989; 18: 276–278.
  7. Khattab AA, Shrestha NR, Meier B. Double-vessel coronary stenting via 5 French diagnostic catheters. Catheter Cardiovasc Interv. 2012; 80(4): 630–633.