What question did this study set out to answer?

To explore the effectiveness of anchor wire stabilization for accessing an occluded right coronary artery in cardiogenic shock.

March 5, 2026JACC Case Reports0 citationsOpen Access

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Bailout Access to an Anomalous-Origin Occluded Right Coronary Artery Using Anchor Wire Stabilization in Cardiogenic Shock

HNHung Minh NgoCan Tho University LMLuan T. MaiCho Ray Hospital BTBao T. TruongCho Ray Hospital

Key Points

To explore the effectiveness of anchor wire stabilization for accessing an occluded right coronary artery in cardiogenic shock.
Utilized anchor-assisted probing maneuver
Focused on patients with acute aorto-ostial occlusion
Emphasized safety and efficacy in unstable conditions
Provided a successful bailout strategy for coronary access
Demonstrated effectiveness in treating inferior-right ventricular STEMI
Reduced risks associated with coronary intervention in unstable patients

Abstract

Acute aorto-ostial occlusion of an anomalous RCA may cause inferior-right ventricular STEMI and apparent angiographic "absence". This anchor-assisted probing maneuver offers a safe, effective bailout strategy for difficult coronary access in unstable patients.

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Bailout Access to an Anomalous-Origin Occluded Right Coronary Artery Using Anchor Wire Stabilization in Cardiogenic Shock

Key Points

Abstract

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