Successful percutaneous coronary intervention of anomalous origin right coronary arteries with 3-D RCA guide catheters: a report of three cases.
Right coronary arteries with anomalous origin (ARCA) may be associated with myocardial ischemia and sudden death. Selective catheterization and percutaneous coronary intervention (PCI) of ARCA can be technically challenging due to their slit-like orifice and aortic intramural course with abrupt angulation. The 3DRCA guide catheter is a unique catheter with a helical configuration that provides optimal guide support during PCI. We describe three cases of successful PCI to right coronary arteries with anomalous origin (two from the left sinus of Valsalva, one with ectopic origin from the right sinus of Valsalva) using 3DRCA guide catheters after a variety of other catheters were tried unsuccessfully.
Jokhi
Percy P
PP
Walsh
Simon J
SJ
Saw
Jacqueline
J
D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation* / Q000379:methods*; D006328:Cardiac Catheterization / Q000295:instrumentation; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged