Key result
Primary percutaneous coronary intervention using a multipurpose catheter successfully engaged an extremely low-lying right coronary artery and achieved TIMI III flow in an 84-year-old female.
Why the study?
Abnormal right coronary artery take-off from the right coronary sinus poses difficulty in engaging the vessel with a conventional JR guide catheter.
Case Report (n=1)
No
A multipurpose catheter can be a life-saving alternative to engage an extremely low-lying right coronary artery during primary PCI when conventional guide catheters fail.
May facilitate PCI in rare low-lying RCA anomalies; hypothesis-generating for catheter choice and needs prospective validation.
Right coronary artery intervention is usually accomplished with a Judkins right (JR) coronary guide catheter. Abnormal right coronary artery take-off from the right coronary sinus poses difficulty in engaging the right coronary artery with a conventional JR guide catheter. We report a rare case of primary percutaneous intervention of the right coronary artery which was performed with a multipurpose catheter as the patient had an extremely low-lying coronary artery from the coronary sinus where conventional catheters could not engage the right coronary artery in an octogenarian with acute inferior wall ST-elevation myocardial infarction in cardiogenic shock.
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Mahanta et al. (2023) conducted a case report in Acute inferior wall ST-elevation myocardial infarction in cardiogenic shock (n=1). Primary percutaneous coronary intervention with a multipurpose catheter was evaluated on Successful engagement and stenting of the right coronary artery. Primary percutaneous coronary intervention using a multipurpose catheter successfully engaged an extremely low-lying right coronary artery and achieved TIMI III flow in an 84-year-old female.
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