Clinical Medicine: Case Reports
Synopsis: An open access, peer reviewed electronic journal that covers case reports in all areas of clinical medicine.
Indexing: 4 major databases. Pubmed indexing for NIH-funded research.
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Journal: 72900
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Editor in chief:
Karna Dev Bardhan
ISSN: 1178-6450
Transradial Approach Superior to Transfemoral Approach for Guide Catheter Engagement of Right Coronary Artery
Authors: Samir B. Pancholy
Publication Date: 16 Apr 2008
Clinical Medicine: Case Reports 2008:1 13-18
Samir B. Pancholy
Department of Cardiology, Mercy Hospital and Community Medical Center, Scranton, PA
Abstract
We describe one of several cases where right coronary intervention was contemplated. Transfemoral access was selected by the operator. Despite using 12 different guide catheter shapes, attempts at engaging the right coronary artery from transfemoral approach were unsuccesful. The patient was brought for reattempt at percutaneous coronary intervention using transradial approach. Right radial approach allowed immediate JR4 guide catheter seating without difficulty, in the right coronary ostium, with succesful completion of placement of right coronary ostial stent.
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