title: Percutaneous Coronary Intervention in Single Coronary Artery from Right Sinus: Radial Route is Right.
abstract: We present percutaneous coronary intervention (PCI) using radial approach in a rare case of single coronary artery originating from the right sinus. Although these anomalies and stenosis of anomalous vessels have been described previously, treatment of atherosclerotic lesions by PCI has rarely been reported. There is a definite procedural risk during PCI in patients with a single ostium because dissection with the guiding catheter would result in a catastrophic event. Additionally, technical difficulties may occur due to the ostial configuration and course of the branch to be stented. The patient suffered an acute coronary syndrome-inferior wall STEMI, and was thrombolysed elsewhere within a window period of 4 h. He had post myocardial infarction (MI) angina and was referred to our center after 3 days of thrombolysis. We present this technically challenging and rare case in which PCI of right coronary artery was performed through the radial route.
authors.affiliation: Department of Cardiology, HRMC Institute of Cardiology, Sardar Patel Medical College, Bikaner, Rajasthan, India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Mahla
authors.affiliation: Department of Cardiology, HRMC Institute of Cardiology, Sardar Patel Medical College, Bikaner, Rajasthan, India.
authors.forename: Himanshu
authors.initials: H
authors.lastname: Mahla
authors.affiliation: Department of Cardiology, HRMC Institute of Cardiology, Sardar Patel Medical College, Bikaner, Rajasthan, India.
authors.forename: Dinesh
authors.initials: D
authors.lastname: Choudhary
authors.affiliation: Department of Cardiology, HRMC Institute of Cardiology, Sardar Patel Medical College, Bikaner, Rajasthan, India.
authors.forename: Pintu
authors.initials: P
authors.lastname: Nahata
keywords: Coronary artery disease; STEMI; percutaneous coronary intervention; single coronary artery