Percutaneous coronary Intervention for ostial occlusion lesion of an anomalous right coronary artery
- Author:
Shiwei YANG
;
Yujie ZHOU
- Publication Type:Journal Article
- Keywords:
ostial lesions;
high takeoff;
percutaneous coronary intervention;
buddy wire;
focused-force angioplasty
- From:
Journal of Geriatric Cardiology
2009;6(3):189-192
- CountryChina
- Language:Chinese
-
Abstract:
Ostial lesions present many challenges for percutaneous coronary intervention (PCI). Coronary anomaly will further increase difficulties in performing PCI for the patient. We present such a case as ostial occlusion of an right coronary artery with high takeoff. A 77-year-old male was referred to our institution with a diagnosis of non-ST elevated acute myocardial infarction. Selective coronary angiography and nonselective ascending aortography could not identify the origin of the right coronary artery. Multi-slices computed tomography showed RCA ostial totally occluded. A successful PCI was performed and a perfect final result was achieved utilized with many tips and tricks, including buddy wire technique and focused-force angioplasty.
