Percutaneous coronary Intervention for ostial occlusion lesion of an anomalous right coronary artery |
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Authors: | Shi-Wei Yang Yu-Jie Zhou |
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Institution: | Department of Cardiology, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing 100029, China |
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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. |
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Keywords: | ostial lesions high takeoff percutaneous coronary intervention buddy wire focused-force angioplasty |
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