Abstract
This describes a technique for the successful performance of percutaneous coronary intervention in patients whose right coronary artery arises from the left sinus of Valsalva and in whom the standard guiding catheters do not allow coaxial support.
Highlights
Percutaneous coronary intervention (PCI) can be difficult in patients who have a culprit lesion in a coronary artery that arises from the opposite sinus of Valsalva
We describe a technique that has been successful in patients whose right coronary artery arises from the left coronary sinus when the standard guiding catheters do not work
We exchanged for a 300 cm balanced middle weight (BMW) universal wire (Abbott Vascular, Santa Clara, CA, USA) which was placed through the balloon after removing the Hi-Torque floppy wire
Summary
Percutaneous coronary intervention (PCI) can be difficult in patients who have a culprit lesion in a coronary artery that arises from the opposite sinus of Valsalva. These arteries can be difficult to visualize by coronary angiography and are even harder to cannulate to ensure guide stability for PCI. We describe a technique that has been successful in patients whose right coronary artery arises from the left coronary sinus when the standard guiding catheters do not work
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