Successful Primary Angioplasty of Anomalous Coronary Artery through Radial Access and Increased Guide Support: A Case Report

authors:

avatar Amar Upadhyay 1 , * , avatar Barun Kumar 2

Department of Cardiology, SMI Hospital, Dehradun, India
Department of Cardiology, AIIMS, Rhishikesh, India

how to cite: Upadhyay A , Kumar B. Successful Primary Angioplasty of Anomalous Coronary Artery through Radial Access and Increased Guide Support: A Case Report. Int J Cardio Pract. 2020;5(1):e131485. doi: 10.5812/ijcp-131485.

Abstract

One of the rare abnormalities of coronary artery anatomy is the common origin of all three coronary arteries from the right sinus of Valsalva, which, may associated with myocardial ischemia. Percutaneous coronary intervention of such patients with anomalous coronary arteries is particularly challenging. In such patients femoral route is usually chosen for coronary angioplasty, various studies have proved that the radial access provides better engagement and robust support to the guide catheter. We report a rare case diagnosed with ST-segment elevated myocardial infarction. The patient underwent successful trans-radial primary angioplasty with a buddy wire, parked in the non-culprit artery.

Fulltext

© 2020, Cardiovascular Research Center of Shahid Beheshti University of Medicl Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.