An alternative percutaneous interventional approach for post-anastomatic left anterior descending artery stenosis in patients with markedly tortuous LIMA graft.
Percutaneous coronary intervention through a tortuous left internal mammary artery (LIMA) graft, especially with redundancy in length is a challenge in spite of availability of different types of coated guidewires and low-profile balloons. Various modifications of the interventional technique are required in order to negotiate the tortuosity of the LIMA graft. We describe an alternative technique that overcomes this problem in patient with a markedly tortuous LIMA graft.
Tengiz
Istemihan
I
Department of Cardiology, Central Hospital, 35010, Bayrakli, Izmir, Turkey. istemihantengiz@hotmail.com
Aliyev
Emil
E
Ercan
Ertugrul
E
D000800:Angioplasty, Balloon; D017023:Coronary Angiography; D003326:Coronary Circulation; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy; D015607:Stents; D014102:Torsion Abnormality