Key result
Right transradial access with catheter support enables successful coronary intervention in arteria lusoria.
Why the study?
Arteria Lusoria is a rare anatomical variant that can complicate right transradial coronary angiography and angioplasty, but its impact on procedural approach is unclear.
Can a right transradial approach for coronary angiography and angioplasty be successfully performed in patients with Arteria Lusoria?
Case Report (n=2)
Can a right transradial approach for coronary angiography and angioplasty be successfully performed in patients with Arteria Lusoria?
The presence of an aberrant right subclavian artery does not warrant abandoning a transradial approach for coronary angiography and angioplasty when catheter support is used.
May support right transradial access in Arteria Lusoria with catheter support; hypothesis-generating and requires larger studies before adoption.
Arteria Lusoria or aberrant right subclavian artery (ARSA) is present in 0.6-1.4% of individuals. It typically remains clinically silent and is often discovered during angiographic procedures. The presence of ARSA can make a right transradial approach for coronary angiography and angioplasty technically more difficult. With the use of catheter support, we describe two cases in which a right transradial approach for catheterization was successful in the setting of ARSA. As such, the presence of ARSA does not warrant abandoning a transradial approach for coronary angiography and angioplasty.
No takes yet. Share an insight, caveat, or question.
Allen et al. (2016) conducted a case report in Arteria Lusoria (aberrant right subclavian artery) (n=2). Right transradial approach with catheter support was evaluated on Successful catheterization. A right transradial approach for coronary angiography and angioplasty was successful in two cases of Arteria Lusoria using catheter support.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: