Abstract
A 59 year old man was admitted to hospital with a non-transmural anterior myocardial infarction. Recurrent angina pectoris eight days after the initial infarction was investigated by cardiac catheterisation, which showed moderate anterior hypokinesis and proximal occlusion of the left anterior descending coronary artery. The distal part of this vessel was opacified via collaterals from the right coronary artery. Percutaneous transluminal coronary angioplasty was attempted during the same catheterisation; good positioning of the balloon catheter was confirmed by the use of retrograde opacification of the distal part of the left anterior descending coronary artery via the collateral vessels and dilatation was safely achieved. Opacification of the contralateral coronary artery may be a useful and safe positioning of guide wire system or balloon dilatation catheter when dilatation of a totally occluded coronary artery is attempted.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Dervan J. P., Baim D. S., Cherniles J., Grossman W. Transluminal angioplasty of occluded coronary arteries: use of a movable guide wire system. Circulation. 1983 Oct;68(4):776–784. doi: 10.1161/01.cir.68.4.776. [DOI] [PubMed] [Google Scholar]
- Grollier G., Commeau P., Bories H., Iselin M., Foucault J. P., Potier J. C. Une alternative possible à l'échec de la fibrinolyse intracoronarienne par voie percutanée: la dilatation endoluminale percutanée. Ann Cardiol Angeiol (Paris) 1984 Nov;33(7):435–439. [PubMed] [Google Scholar]
- Hartzler G. O., Rutherford B. D., McConahay D. R., Johnson W. L., Jr, McCallister B. D., Gura G. M., Jr, Conn R. C., Crockett J. E. Percutaneous transluminal coronary angioplasty with and without thrombolytic therapy for treatment of acute myocardial infarction. Am Heart J. 1983 Nov;106(5 Pt 1):965–973. doi: 10.1016/0002-8703(83)90639-7. [DOI] [PubMed] [Google Scholar]
- Hill J. A., Feldman R. L., Macdonald R. G., Pepine C. J. Coronary artery collateral visualization during acute coronary occlusion. Am J Cardiol. 1985 Apr 15;55(9):1216–1218. doi: 10.1016/0002-9149(85)90667-8. [DOI] [PubMed] [Google Scholar]
- Macdonald R. G., Feldman R. L. Right coronary angiography during left anterior descending angioplasty: collateral visualization as a guide to balloon positioning. Am J Cardiol. 1985 Mar 1;55(6):845–847. doi: 10.1016/0002-9149(85)90171-7. [DOI] [PubMed] [Google Scholar]
- Pepine C. J., Prida X., Hill J. A., Feldman R. L., Conti C. R. Percutaneous transluminal coronary angioplasty in acute myocardial infarction. Am Heart J. 1984 Apr;107(4):820–822. doi: 10.1016/0002-8703(84)90352-1. [DOI] [PubMed] [Google Scholar]
- Serruys P. W., Umans V., Heyndrickx G. R., van den Brand M., de Feyter P. J., Wijns W., Jaski B., Hugenholtz P. G. Elective PTCA of totally occluded coronary arteries not associated with acute myocardial infarction; short-term and long-term results. Eur Heart J. 1985 Jan;6(1):2–12. doi: 10.1093/oxfordjournals.eurheartj.a061750. [DOI] [PubMed] [Google Scholar]