Angioplasty of Anomalous Coronaries Arising from the Opposite Sinus with an Interarterial Course, is it Safe?

© 2021 Saudi Heart Association.

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 33(2021), 4 vom: 18., Seite 296-305
1. Verfasser: Hammami, Rania (VerfasserIn)
Weitere Verfasser: Ben Mrad, Imtinene, Bahloul, Amine, Charfeddine, Salma, Gribaa, Rym, Thabet, Houssem, Allouche, Emna, Ben Abdessalem, Aymen, Hassine, Majed, Abid, Leila, Kammoun, Samir, Amor, Hassen Ibn Hadj
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2021
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Angiographic success Anomalous coronary artery Inter-arterial course Percutaneous coronary intervention Target lesion revascularization
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520 |a BACKGROUND: The coronary artery with an interarterial course CAIAC is the most threatening coronary anomaly, especially if it concerns the left coronary. Percutaneous coronary intervention PCI is scarcely described given its low prevalence and lack of long-term outcome data. Therefore, we assessed through this case series the feasibility and safety of PCI in this population 
520 |a METHODS: This is an observational multicentric study including patients with CAIAC arising from the opposite sinus of Valsalva. The primary endpoints were immediate angiographic success and target lesion revascularization 
520 |a RESULTS: During the period of the study, we performed 27235 PCI in six Cath labs, 26 procedures concerning abnormal coronaries including 12 with CAIAC. The median age was 57 years extremes: 43-78 with male predominance 1:11. Anomalous coronary artery was Right coronary artery RCA in eight patients, Left main LM in three patients, and left anterior descending LAD in one patient. The stenosis was located in all cases in proximal segments beyond the inter-arterial course proximal LAD, the superior genius of the RCA, or the proximal segment of mid-RCA. Five patients showed slit-like ostium and all have an angle take-off <45° on CT scan. After a median follow-up of 24 months, four subjects presented target lesion revascularization TLR, all were initially treated with either a bare-metal stent or with balloons 
520 |a CONCLUSIONS: PCI of patients with CAIAC is feasible and appears safe. The operator should carefully analyze the angiogram before PCI to choose the appropriate guiding catheter and should be acquainted with the different techniques for improving backup 
650 4 |a Journal Article 
650 4 |a Angiographic success 
650 4 |a Anomalous coronary artery 
650 4 |a Inter-arterial course 
650 4 |a Percutaneous coronary intervention 
650 4 |a Target lesion revascularization 
700 1 |a Ben Mrad, Imtinene  |e verfasserin  |4 aut 
700 1 |a Bahloul, Amine  |e verfasserin  |4 aut 
700 1 |a Charfeddine, Salma  |e verfasserin  |4 aut 
700 1 |a Gribaa, Rym  |e verfasserin  |4 aut 
700 1 |a Thabet, Houssem  |e verfasserin  |4 aut 
700 1 |a Allouche, Emna  |e verfasserin  |4 aut 
700 1 |a Ben Abdessalem, Aymen  |e verfasserin  |4 aut 
700 1 |a Hassine, Majed  |e verfasserin  |4 aut 
700 1 |a Abid, Leila  |e verfasserin  |4 aut 
700 1 |a Kammoun, Samir  |e verfasserin  |4 aut 
700 1 |a Amor, Hassen Ibn Hadj  |e verfasserin  |4 aut 
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