The Journal of invasive cardiology · 2015
Patient-Specific Three-Dimensional Aortocoronary Model for Percutaneous Coronary Intervention of a Totally Occluded Anomalous Right Coronary Artery.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Watanabe Hirotoshi, Saito Naritatsu, Tatsushima Syojiro, Tazaki Junichi, Toyota Toshiaki, Imai Masao, Watanabe Shin, Yamamoto Erika, Bao Bingyuan, Nakatsuma Kenji, Watanabe Hiroki, Shizuta Satoshi, Kimura Takeshi
Аннотация
Percutaneous coronary intervention (PCI) for anomalous coronary arteries is often difficult because the support provided by the guide catheter is insufficient. We encountered a patient with severe three-vessel coronary disease including a totally occluded anomalous right coronary artery (RCA) originating from the left sinus of Valsalva. Initial PCI for the anomalous RCA via the transradial approach failed. Therefore, we constructed a three-dimensional (3D) aortocoronary model and conducted an in vitro simulation to plan the second PCI and found that a Judkins left (JL) 3.5 guide catheter in the power position yielded maximum backup support for the anomalous RCA. Thus, the second PCI was conducted using an 8 Fr JL 3.5 guide catheter in the power position via the transfemoral approach. The procedure was smooth and successful, without any adverse events. Our experience suggests that case-specific 3D models are useful for strategic planning of complex PCIs.