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Successful Percutaneous Coronary Intervention through a Severely Bent Artificial Ascending Aorta Using the DIO

Akinori Fujikake1, Takaaki Komatsu1, Isao Taguchi1

  • 1Department of Cardiology, Dokkyo Medical University Koshigaya Hospital, 2-1-50 Minami Koshigaya, Koshigaya City, Saitama 3438555, Japan.

Case Reports in Cardiology
|August 13, 2016
PubMed

Insights

A novel catheter successfully navigated complex aortic anatomy for treating acute coronary syndrome. This technique is valuable for challenging coronary artery interventions, especially after aortic dissection repair.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Device Technology

Background:

  • A 66-year-old male presented with chest pain, history of ascending aorta replacement due to aortic dissection.
  • Previous aortic dissection repair complicated coronary angiography due to severe aortic angulation.

Purpose of the Study:

  • To describe the successful use of a specialized catheter in a complex coronary intervention.
  • To evaluate the utility of the DIO thrombus aspiration catheter in challenging aortic anatomies.

Main Methods:

  • Coronary artery angiography was performed in a patient with a history of aortic dissection repair.
  • A DIO thrombus aspiration catheter was utilized to cannulate the left coronary artery due to severe aortic tortuosity.
  • Percutaneous coronary intervention with stent implantation was successfully completed.

Main Results:

  • The DIO catheter facilitated successful cannulation of the left coronary artery despite significant anatomical challenges.
  • Percutaneous coronary intervention and stent implantation were performed without immediate complications.
  • The case highlights the catheter's efficacy in complex coronary access scenarios.

Conclusions:

  • The DIO thrombus aspiration catheter is a valuable tool for interventional cardiologists facing complex guiding catheter selection.
  • This device offers a solution for cannulating coronary arteries in patients with severe vessel tortuosity or aortic abnormalities.
  • Successful intervention demonstrates the potential of specialized devices in improving outcomes for high-risk cardiovascular patients.

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