Transradial complex left main trifurcation intervention.
Trifurcation lesions, especially around the left main coronary artery (LMCA), are occasionally encountered. Complex lesions, involving the bifurcation or the trifurcation of the unprotected LMCA, represent a real challenge for interventional cardiologists. Trifurcation lesions intervention reported to have high overall major adverse cardiovascular events, and require the use of various complex interventional techniques, for example, large guiding catheters to accommodate three wires guiding simultaneously inflated balloons or stents. Here, we report a case of successful percutaneous coronary intervention supported by pre-and post-intravascular ultrasound imaging, on an LMCA trifurcation using a 6F guiding catheter via transradial approach. © 2010 Wiley-Liss, Inc.
Hussein
Hesham
H
Department of Cardiology, National Heart Institute, Cairo, Egypt.
Fang
Hsiu-Yu
HY
Wu
Chiung-Jen
CJ
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods*; D057785:Catheters; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional