Image in Cardiology
Utility of catheter extension devices in coronary artery anomalies
Utilidade dos extensores do cateter em anomalias coronárias
Eva Rumiz
, Ernesto Valero, Juan Vicente Vilar, Pablo Almela, Javier Haba
Corresponding author
Cardiology Department, Hospital Quirónsalud Valencia, Valencia, Spain
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B: transesophageal echocardiography).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Marta Madeira, Liliana Reis, Rogério Teixeira, Paulo Dinis, Marco Costa, Lino Gonçalves" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Marta" "apellidos" => "Madeira" ] 1 => array:2 [ "nombre" => "Liliana" "apellidos" => "Reis" ] 2 => array:2 [ "nombre" => "Rogério" "apellidos" => "Teixeira" ] 3 => array:2 [ "nombre" => "Paulo" "apellidos" => "Dinis" ] 4 => array:2 [ "nombre" => "Marco" "apellidos" => "Costa" ] 5 => array:2 [ "nombre" => "Lino" "apellidos" => "Gonçalves" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918302757?idApp=UINPBA00004E" "url" => "/21742049/0000003700000008/v1_201808120420/S2174204918302757/v1_201808120420/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Utility of catheter extension devices in coronary artery anomalies" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "723" "paginaFinal" => "724" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Eva Rumiz, Ernesto Valero, Juan Vicente Vilar, Pablo Almela, Javier Haba" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Eva" "apellidos" => "Rumiz" "email" => array:1 [ 0 => "evarumiz@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Ernesto" "apellidos" => "Valero" ] 2 => array:2 [ "nombre" => "Juan Vicente" "apellidos" => "Vilar" ] 3 => array:2 [ "nombre" => "Pablo" "apellidos" => "Almela" ] 4 => array:2 [ "nombre" => "Javier" "apellidos" => "Haba" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Cardiology Department, Hospital Quirónsalud Valencia, Valencia, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Utilidade dos extensores do cateter em anomalias coronárias" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2068 "Ancho" => 2250 "Tamanyo" => 218892 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Right coronary angiography showing an anomalous origin and severe stenosis in the middle segment (arrow). (B) Right coronary catheterization using the catheter extension device. (C) Stent delivery. (D) Final angiographic result.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 72-year-old woman with a history of hypertension and dyslipidemia, who came to the outpatient clinic complaining of chest pain. Exercise stress test was positive. Coronary angiography (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A) by radial approach showed a right coronary artery (RCA) with an anomalous origin at the left sinus of Valsalva, next to the origin of the left main coronary artery, with severe stenosis in the middle segment (arrow). Due to its anomalous origin, selective catheterization of the RCA could not be achieved with any type of guide catheter; the Amplatz-Left-1 allowed the best approach. The use of a catheter extension device (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B, arrow) enabled selective intubation of the anomalous ostium, advancing the angioplasty balloon and pre-dilation of the stenosis. Subsequently, with the help of the catheter extension device, we implanted a drug-eluting stent in the RCA (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>C) with an excellent final angiographic result (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>D).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Interventional cardiologists face a number of technical challenges when attempting to treat anomalous coronary arteries. The very low incidence of anomalies and the unique characteristics of each one make it essential to individualize the approach in each patient, with the correct selection of the guiding catheter and the use of alternative techniques and devices being particularly important. In our case, the use of the catheter extension device permitted selective catheterization of the anomalous coronary artery and provided us with sufficient support to successfully perform the angioplasty.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2017-04-01" "fechaAceptado" => "2017-04-10" "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2068 "Ancho" => 2250 "Tamanyo" => 218892 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Right coronary angiography showing an anomalous origin and severe stenosis in the middle segment (arrow). (B) Right coronary catheterization using the catheter extension device. (C) Stent delivery. (D) Final angiographic result.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003700000008/v1_201808120420/S2174204918302769/v1_201808120420/en/main.assets" "Apartado" => array:4 [ "identificador" => "9915" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003700000008/v1_201808120420/S2174204918302769/v1_201808120420/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918302769?idApp=UINPBA00004E" ]
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