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Successful percutaneous coronary intervention with GuideLinerĀ® catheter for subtotal occlusive lesion in the right coronary artery with anomalous origin from the left sinus of Valsalva: a case report.
- Source :
-
Journal of medical case reports [J Med Case Rep] 2015 Jul 28; Vol. 9, pp. 163. Date of Electronic Publication: 2015 Jul 28. - Publication Year :
- 2015
-
Abstract
- Introduction: Because of the unusual anatomy of an anomalous origin of the right coronary artery from the left sinus of Valsalva, selective cannulation of the guiding catheter in percutaneous coronary intervention for these cases is always challenging.<br />Case Presentation: A 58-year-old Japanese man was admitted to our hospital complaining of worsening exertional chest pain. He was suspected of having unstable angina pectoris and underwent cardiac catheterization. We found a subtotal occlusive lesion in the mid-portion of his right coronary artery that originated from the left sinus of Valsalva. On the previous percutaneous coronary intervention, we failed to cannulate the guiding catheter to the anomalous orifice of the right coronary artery. Therefore, we decided to use the GuideLiner catheter for stable back-up support from the beginning. A 6Fr GuideLiner catheter was introduced into the right coronary artery by anchoring it coaxially with a semi-compliant balloon catheter. And we successfully deployed two drug-eluting stents by crossing over the posterior-descending artery. Final angiography demonstrated favorable dilatation of the target lesion, and native blood flow in the right coronary artery was completely recovered.<br />Conclusion: GuideLiner is a monorail-type "child" support catheter that facilitates coaxial guiding catheter engagement and an appropriate back-up force, achieving successful device delivery to target lesions in this kind of complex percutaneous coronary intervention.
- Subjects :
- Abnormalities, Multiple diagnostic imaging
Angina Pectoris etiology
Angioplasty, Balloon, Coronary methods
Coronary Angiography
Coronary Vessel Anomalies diagnostic imaging
Humans
Male
Middle Aged
Sinus of Valsalva diagnostic imaging
Stents
Abnormalities, Multiple therapy
Angioplasty, Balloon, Coronary instrumentation
Cardiac Catheterization instrumentation
Coronary Vessel Anomalies therapy
Percutaneous Coronary Intervention
Sinus of Valsalva abnormalities
Subjects
Details
- Language :
- English
- ISSN :
- 1752-1947
- Volume :
- 9
- Database :
- MEDLINE
- Journal :
- Journal of medical case reports
- Publication Type :
- Academic Journal
- Accession number :
- 26215969
- Full Text :
- https://doi.org/10.1186/s13256-015-0646-0