Case
Case
- Index
- Case1:
Restenosis at the bifurcation treated by crush stenting,
60 year old male - Case2:
A long lesion in right coronary artery,
70 year old female - Case3:
Shepherd Crook Type RCA,
60 year old male - Case4:
Retrograde approach for chronic total occlusion in RCA,
70 year old female - Case5:
High take-off vein graft,
60 year old male - Case6:
Anomalous origin of RCA from left coronary sinus,
50 year old male - Case7:
A case of RCA CTO
by Dr. Chiung-Jen Wu and Dr. Swapnil Mate
Case2: A long lesion in right coronary artery, 70 year old female
Case
Chief complaint: effort angina
Past history: abdominal aorta aneurysm
Present illness: She had effort angina from 6 months ago and continued despite sufficient medical treatment. Coronary angiography showed a long lesion with delayed filling.
We performed PCI via radial access because of abdominal aorta aneurysm.
6F TRI Ikari L3.5
A long stent did not pass the long lesion. Backup force of the guiding catheter was not sufficient.
The guiding catheter was simply pushed. It can make the power positionof Ikari L.
Power position increased backup force. A stent was possible to pass through the lesion.
Final angiography
Summary
It failed to pass a stent through a long lesion. Backup force was not sufficient.
Using another guiding catheter, anchor balloon technique or guiding catheter extension was considered.
However, using Ikari L, power position technique can increase backup force. It can save cost and time.
