Key result
IVUS is the gold standard for analyzing interarterial AAOCA, while OCT and physiology add diagnostic value.
Why the study?
Selective engagement of anomalous aortic origin of coronary arteries (AAOCA) during cardiac catheterization presents challenges requiring comprehensive understanding of catheter techniques and imaging.
Population
Patients with anomalous aortic origin of coronary arteries (AAOCA)
Comparison
Various catheterization techniques and imaging modalities for AAOCA assessment
Design
Review
Authors
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May guide catheter selection in AAOCA cases; leaves open prospective validation of recommendations.
This review provides guidance on catheter selection, manipulation, and the use of intracoronary imaging and physiological tools for evaluating anomalous aortic origin of coronary arteries.
Fretay et al. (2025) conducted a review in Anomalous aortic origin of a coronary artery (AAOCA). Catheterization and intravascular imaging techniques was evaluated. Intravascular ultrasound is the gold standard for analyzing anomalous aortic origin of coronary arteries with an interarterial course, while optical coherence tomography and physiological indices provide additional diagnostic value.
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