Li-Feng Hong, Song-Hui Luo, Jian-Jun Li. Percutaneous coronary intervention with anomalous origin of right coronary artery: case reports and literature review[J]. Journal of Geriatric Cardiology, 2013, 10(2): 205-209. DOI: 10.3969/j.issn.1671-5411.2013.02.011
Citation: Li-Feng Hong, Song-Hui Luo, Jian-Jun Li. Percutaneous coronary intervention with anomalous origin of right coronary artery: case reports and literature review[J]. Journal of Geriatric Cardiology, 2013, 10(2): 205-209. DOI: 10.3969/j.issn.1671-5411.2013.02.011

Percutaneous coronary intervention with anomalous origin of right coronary artery: case reports and literature review

  • Percutaneous coronary intervention (PCI) in an anomalous right coronary artery (RCA) can be technically difficult because selective cannulation of the vessel may not be easy. We thereby present two cases with unstable angina pectoris of anomalous originated RCA. The PCI were successfully performed in two patients with a special guiding wire manipulating skill which we called “gone with the flow” com-bined with balloon anchoring technology, providing excellent angiographic visualization and sound guide support for stent delivery throughout the procedure without severe cardiovascular adverse effects. Our primary data suggested that PCI for geriatric patients with an anomalous origin of RCA accompanied by severe atherosclerotic lesions might also be a safe, available, and feasible strategy.
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