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Simplified Technique for Internal Mammary Artery Bypass Graft Angiography From Contralateral Radial Access Using a
Brian Osler1, David L Fischman1, Michael P Savage1
1Thomas Jefferson University Hospital, Philadelphia PA.
Angiography of internal mammary artery (IMA) coronary bypass grafts from contralateral radial artery access can be technically difficult. In this case series, a simplified method for IMA graft angiography via contralateral access was performed utilizing a mother-and-child technique with a guide extension catheter advanced to the IMA ostium over a coronary guidewire. The study group consisted of 6 patients (5 male and 1 female) with ages from 53 to 81 years. IMA graft age ranged from 7 to 25 years. Angiography was successfully completed in all patients without complications or need for alternative access.
Angiography of internal mammary artery (IMA) coronary bypass grafts from contralateral radial artery access can be technically difficult. In this case series, a simplified method for IMA graft angiography via contralateral access was performed utilizing a mother-and-child technique with a guide extension catheter advanced to the IMA ostium over a coronary guidewire. The study group consisted of 6 patients (5 male and 1 female) with ages from 53 to 81 years. IMA graft age ranged from 7 to 25 years. Angiography was successfully completed in all patients without complications or need for alternative access.
