Less invasive PTCA of a gastroepiploic artery combining the transradial approach and 5 Fr guiding catheter: a case report.
The gastroepiploic artery has been successfully used as an arterial conduit in selected patients undergoing CABG with acceptable immediate and long-term results. Myocardial ischemia may occur during the follow-up period as a result of spasm, occlusion, or stenosis at the anastomosis site. Because of tortuosity and in order to avoid graft spasm and to obtain good extra backup support, we require low-profile wide-lumen guiding catheters for deep intubation and increased procedural success. In the case presented here, a gastroepiploic graft stenosis was treated by balloon angioplasty performed through a less invasive approach combining transradial access and use of 5 Fr guiding catheter.
Institut Cardiovasculaire Paris Sud, Massy, France.
Gyarsi Lal
GL
Sharma
Yves
Y
Louvard
Oscar
O
Tavolaro
Thierry
T
Lefèvre
Christophe
C
Loubeyre
Pierre
P
Dumas
Marie-Claude
MC
Morice
D015906:Angioplasty, Balloon, Coronary; D002404:Catheterization / Q000295:instrumentation; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000628:therapy; D024405:Gastroepiploic Artery; D006801:Humans; D008297:Male; D008875:Middle Aged