Coronary and bypass graft angiography via the right radial approach using a single catheter.
Transradial cardiac catheterization in patients with previous coronary artery bypass graft surgery can be technically challenging. The presence of a left internal mammary artery (LIMA) graft was previously considered a relative contraindication for a right radial procedure, but there are several reports demonstrating the feasibility and safety of LIMA angiography from a right radial access. This case report demonstrates that transradial coronary and bypass graft angiography including LIMA angiography from the right radial approach is technically feasible with a single catheter. Catheter options for LIMA angiography from right radial access will also be discussed.
Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA. wmsuh@mednet.ucla.edu
William M
WM
Suh
Morton J
MJ
Kern
D000368:Aged; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D057785:Catheters; D017023:Coronary Angiography / Q000379:methods*; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D023903:Coronary Restenosis / Q000000981:diagnostic imaging*; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D017534:Radial Artery / Q000000981:diagnostic imaging*; D018570:Risk Assessment; D012720:Severity of Illness Index