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

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

• References

• 1 Wilkins CE, Betancourt B, Mathur VS. , et al. Coronary artery anomalies: a review of more than 10,000 patients from the Clayton Cardiovascular Laboratories. Tex Heart Inst J 1988; 15 (03) 166-173
• 2 Catanoso A, Rizzini AL, Cacucci M, Valentini P, Inama G. [Coronary angioplasty of anomalous coronary arteries]. G Ital Cardiol (Rome) 2010; 11 (10, Suppl (Suppl. 01) 72S-77S
• 3 Hong LF, Luo SH, Li JJ. Percutaneous coronary intervention with anomalous origin of right coronary artery: case reports and literature review. J Geriatr Cardiol 2013; 10 (02) 205-209
• 4 Karur S, Patra S, Shankarappa RK, Agrawal N, Math RS, Nanjappa MC. Percutaneous coronary intervention in patients with anomalous origin of coronary artery presenting with acute coronary syndrome: a case series. J Cardiovasc Dis Res 2013; 4 (03) 204-208
• 5 Kuno T, Fujisawa T, Yamazaki H, Motoda H, Kodaira M, Numasawa Y. Steam-deformed Judkins-left guiding catheter with use of the GuideLiner(®) catheter to deliver stents for anomalous right coronary artery. SAGE Open Med Case Rep 2015; 3
• 6 Suryanarayana P, Lee JZ, Abidov A, Lotun K. Anomalous right coronary artery: case series and review of literature. Cardiovasc Revasc Med 2015; 16 (06) 362-366
• 7 Takahashi A, Taniguchi N, Yamada T, Mizuguchi Y, Hata T, Nakajima S. The novel 4.5F CoKatte catheter for stent delivery facilitation in complex coronary artery lesions. Cardiovasc Revasc Med 2014; 15 (6,7): 346-349