Open AccessA practical tip to engage the left main coronary artery in patients presenting with aortic aneurysms
Author(s) -
Kudret Keskin,
Serhat Sığırcı,
Süleyman Sezai Yıldız,
Gökhan Çetinkal,
Kadriye Orta Kılıçkesmez
Publication year - 2017
Publication title -
international journal of the cardiovascular academy
Language(s) - English
Resource type - Journals
eISSN - 2405-819X
pISSN - 2405-8181
DOI - 10.1016/j.ijcac.2017.10.001
Subject(s) - medicine , cardiology , left coronary artery , aorta , artery , radiology
Coronary angiography in patients presenting with ascending aortic aneurysms can be challenging since standard catheters may fail to reach the left main coronary artery. A widely accepted approach is the mother-in-child catheter technique whereby a catheter with a smaller diameter is telescoped through one with a bigger diameter, a procedure that helps to lengthen the catheter. However, this technique is associated with several disadvantages such as thrombus formation within the catheters, inadvertent damage to the left main ostium, and the necessity of manipulation, which the operator may not be familiar with. Therefore, in our case we present a method, which involves the application of a regular Judkins Right 4 catheter for left main engagement. We propose that this method can be safely attempted prior to using telescoping techniques