Steam-deformed Judkins-left guiding catheter with use of the GuideLiner catheter to deliver stents for anomalous right coronary artery
Objective: Percutaneous coronary intervention for anomalous right coronary artery (RCA) originating from the left coronary cusp is challenging because of our current inability to coaxially engage the guiding catheter. Methods: We report a case of an 88-year-old woman with non-ST segment elevation my...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2015-10-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X15608339 |
| _version_ | 1818963799508516864 |
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| author | Toshiki Kuno Taishi Fujisawa Hiroyuki Yamazaki Hiroyuki Motoda Masaki Kodaira Yohei Numasawa |
| author_facet | Toshiki Kuno Taishi Fujisawa Hiroyuki Yamazaki Hiroyuki Motoda Masaki Kodaira Yohei Numasawa |
| author_sort | Toshiki Kuno |
| collection | DOAJ |
| description | Objective: Percutaneous coronary intervention for anomalous right coronary artery (RCA) originating from the left coronary cusp is challenging because of our current inability to coaxially engage the guiding catheter. Methods: We report a case of an 88-year-old woman with non-ST segment elevation myocardial infarction, with an anomalous RCA origin. Using either the Judkins-Left catheter or Amplatz-Left catheter was difficult because of RCA ostium tortuosity. Thus, we used steam to deform the Judkins-Left catheter, but back-up support was insufficient to deliver the stent. Results: We used GuideLiner®, a novel pediatric catheter with rapid exchange/monorail systems, to enhance back-up support. Conclusions: We were able to successfully stent with both the deformed Judkins-Left guiding catheter and GuideLiner® for an anomalous RCA origin. |
| first_indexed | 2024-12-20T12:50:58Z |
| format | Article |
| id | doaj.art-5840c12e05074b30892616d9214d11f5 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-20T12:50:58Z |
| publishDate | 2015-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-5840c12e05074b30892616d9214d11f52022-12-21T19:40:10ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2015-10-01310.1177/2050313X1560833910.1177_2050313X15608339Steam-deformed Judkins-left guiding catheter with use of the GuideLiner catheter to deliver stents for anomalous right coronary arteryToshiki KunoTaishi FujisawaHiroyuki YamazakiHiroyuki MotodaMasaki KodairaYohei NumasawaObjective: Percutaneous coronary intervention for anomalous right coronary artery (RCA) originating from the left coronary cusp is challenging because of our current inability to coaxially engage the guiding catheter. Methods: We report a case of an 88-year-old woman with non-ST segment elevation myocardial infarction, with an anomalous RCA origin. Using either the Judkins-Left catheter or Amplatz-Left catheter was difficult because of RCA ostium tortuosity. Thus, we used steam to deform the Judkins-Left catheter, but back-up support was insufficient to deliver the stent. Results: We used GuideLiner®, a novel pediatric catheter with rapid exchange/monorail systems, to enhance back-up support. Conclusions: We were able to successfully stent with both the deformed Judkins-Left guiding catheter and GuideLiner® for an anomalous RCA origin.https://doi.org/10.1177/2050313X15608339 |
| spellingShingle | Toshiki Kuno Taishi Fujisawa Hiroyuki Yamazaki Hiroyuki Motoda Masaki Kodaira Yohei Numasawa Steam-deformed Judkins-left guiding catheter with use of the GuideLiner catheter to deliver stents for anomalous right coronary artery SAGE Open Medical Case Reports |
| title | Steam-deformed Judkins-left guiding catheter with use of the GuideLiner catheter to deliver stents for anomalous right coronary artery |
| title_full | Steam-deformed Judkins-left guiding catheter with use of the GuideLiner catheter to deliver stents for anomalous right coronary artery |
| title_fullStr | Steam-deformed Judkins-left guiding catheter with use of the GuideLiner catheter to deliver stents for anomalous right coronary artery |
| title_full_unstemmed | Steam-deformed Judkins-left guiding catheter with use of the GuideLiner catheter to deliver stents for anomalous right coronary artery |
| title_short | Steam-deformed Judkins-left guiding catheter with use of the GuideLiner catheter to deliver stents for anomalous right coronary artery |
| title_sort | steam deformed judkins left guiding catheter with use of the guideliner catheter to deliver stents for anomalous right coronary artery |
| url | https://doi.org/10.1177/2050313X15608339 |
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