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Int J Angiol 2018; 27(04): 232-234
DOI: 10.1055/s-0038-1669957
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Balloon-Anchored CoKatte® for Successfully Delivering Balloons for an Occluded Anomalous Right Coronary Artery

Makoto Araki
1   Cardiovascular Center, Yokosuka Kyosai Hospital, Yokosuka, Kanagawa, Japan
,
Hiroyuki Hikita
1   Cardiovascular Center, Yokosuka Kyosai Hospital, Yokosuka, Kanagawa, Japan
,
Keiichi Hishikari
1   Cardiovascular Center, Yokosuka Kyosai Hospital, Yokosuka, Kanagawa, Japan
,
Atsushi Takahashi
1   Cardiovascular Center, Yokosuka Kyosai Hospital, Yokosuka, Kanagawa, Japan
› Author Affiliations
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Publication History

Publication Date:
14 September 2018 (online)

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Abstract

Percutaneous coronary intervention (PCI) for anomalous right coronary artery (RCA), originating from the left coronary cusp is challenging, because of the difficulty in engaging the guiding catheter coaxially, and delivering balloons and stents. A 65-year-old man with effort angina underwent PCI for anomalous RCA. This report describes the method we used. Although, delivering the balloon was difficult in short of the guiding catheter's backup force, we finally succeeded by using one more guiding catheter and the balloon-anchored CoKatte®, a novel, straight 4.5-French child catheter, to strengthen the backup force.

Keywords

percutaneous coronary intervention - coronary vessel anomalies - case study - coronary occlusion - CoKatte® - CTO
 

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