title: A successful treatment for a lesion of chronic total occlusion with contralateral angiography in a single radial access.
abstract: A 50-year-old man was admitted due to effort chest pain. Coronary angiogram showed a total occlusion of LAD. The 5-French JL 3.5 was engaged into the left coronary artery. The XT-A guidewire was advanced to the distal of the occluded lesion. Contralateral angiography was performed using JL 3.5. The guiding catheter was pullback from the left coronary orifice leaving the guidewire at LAD, and the catheter tip was rotated clockwise to right coronary cusp for right coronary angiography. We could confirm that the guidewire was in the true lumen vessel.
authors.affiliation: Division of Cardiovascular Center, Kouseikai Takeda Hospital, 841-5 Higashishiokoji-cho, Shimogyo-ku, Kyoto, Kyoto, 600-8558, Japan, n_rreo@yahoo.co.jp.
authors.forename: Reo
authors.initials: R
authors.lastname: Nakamura
authors.forename: Keisuke
authors.initials: K
authors.lastname: Ota
authors.forename: Kei
authors.initials: K
authors.lastname: Isoda
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Miyai
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Sawanishi
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Kinoshita
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D017023:Coronary Angiography / Q000379:methods*; D054059:Coronary Occlusion / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000601:surgery