Open AccessPercutaneous Coronary Intervention in Single Coronary Artery from Right Sinus: Radial Route is Right
Author(s) -
Rakesh Mahla,
Himanshu Mahla,
Dinesh Choudhary,
Pintu Nahata
Publication year - 2015
Publication title -
journal of clinical imaging science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.279
H-Index - 18
eISSN - 2156-7514
pISSN - 2156-5597
DOI - 10.4103/2156-7514.170735
Subject(s) - medicine , percutaneous coronary intervention , conventional pci , cardiology , right coronary artery , myocardial infarction , acute coronary syndrome , ostium , coronary sinus , thrombolysis , unstable angina , stenosis , coronary angiography
We present percutaneous coronary intervention (PCI) using radial approach in a rare case of single coronary artery originating from the right sinus. Although these anomalies and stenosis of anomalous vessels have been described previously, treatment of atherosclerotic lesions by PCI has rarely been reported. There is a definite procedural risk during PCI in patients with a single ostium because dissection with the guiding catheter would result in a catastrophic event. Additionally, technical difficulties may occur due to the ostial configuration and course of the branch to be stented. The patient suffered an acute coronary syndrome-inferior wall STEMI, and was thrombolysed elsewhere within a window period of 4 h. He had post myocardial infarction (MI) angina and was referred to our center after 3 days of thrombolysis. We present this technically challenging and rare case in which PCI of right coronary artery was performed through the radial route