Percutaneous coronary intervention of anomalous right coronary arteries arising from the left sinus of Valsalva: a single-centre experience from Northern India.

Autor:	Vijayvergiya R; Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India., Gupta A; Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India., Kasinadhuni G; Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India., Kumar B; Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India., Sihag BK; Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India., Gawalkar AA; Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India., Lal A; Department of Radio Diagnosis, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Jazyk:	angličtina
Zdroj:	AsiaIntervention [AsiaIntervention] 2023 Mar 15; Vol. 9 (1), pp. 32-38. Date of Electronic Publication: 2023 Mar 15 (Print Publication: 2023).
DOI:	10.4244/AIJ-D-22-00039
Abstrakt:	Background: An anomalous right coronary artery (ARCA) arising from the left sinus of Valsalva is an uncommon congenital anomaly. The unusual location, take-off and intramural courses of ARCA pose a considerable technical challenge during percutaneous coronary intervention (PCI). Aims: We sought to report our experience of PCI of ARCA in 35 cases of atherosclerotic occlusion. Methods: The PCI database of 35 cases of ARCA was retrospectively analysed. The details about demography, clinical presentation, PCI procedure and clinical follow-up were noted. Results: The mean age was 56.7±13.5 years. The clinical presentation included stable angina in 45.7%, unstable angina in 20% and acute myocardial infarction in 34.3% of patients. Vascular access was transradial in 37.1% of cases, transfemoral in 60% of cases, and transbrachial in 1 case (2.9%). Judkins left and Amplatz left were commonly used guide catheters. Two patients with balloon-uncrossable, calcified lesions required rotablation-assisted PCI. Intravascular imaging was performed in 12 patients (34.3%). Optical coherence tomography demonstrated a proximal intramural course in 3 patients, and a slit-like orifice in 4 patients. The mean radiation dose and fluoroscopy time were 877±687.3 mGy and 18.8±11.6 minutes, respectively. Twenty-eight (80%) patients had an asymptomatic median follow-up of 49 (interquartile range: 29.0-97.5) months. Conclusions: We performed successful PCI in a cohort of 35 patients with ARCA, with favourable long-term clinical outcomes. The selection of an appropriate guide catheter and technical skills were important factors in achieving favourable results. Competing Interests: The authors have no conflicts of interest to declare relevant to the content herein.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu