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An 80-year-old woman with history of rheumatoid arthritis and chronic steroid therapy was admitted to our cathlab for a non-ST-elevation myocardial infarction. Diagnostic coronary angiography was performed by right radial… Click to show full abstract
An 80-year-old woman with history of rheumatoid arthritis and chronic steroid therapy was admitted to our cathlab for a non-ST-elevation myocardial infarction. Diagnostic coronary angiography was performed by right radial artery access, and revealed a long critical stenosis of the proximal and mid-tract of the left anterior descending artery. A 3.5 Extra Back-Up 6 Fr catheter was advanced to perform percutaneous coronary intervention (PCI). It was difficult to advance the catheter through the brachiocephalic trunk as this was quite tortuous. Nevertheless, after gentle clockwise and counter-clockwise rotation of the catheter, it was possible to advance it into the ascending aorta. At that time the patient complained of a mild sensation of pain, but the catheter was manipulated into the left main stem without difficulty and it was
Journal Title: Journal of Cardiovascular Medicine
Year Published: 2019
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