Case 69: PCI Manual - Arteria lusoria

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Advancing a catheter to the aortic cusps was challenging in a patient through right radial access. Angiography suggested arteria lusoria. A Glidewire was advanced to the aortic cusps, but the standard 100 cm long catheters were not long enough to reach the coronary ostia. Using 125 cm long diagnostic catheter coronary angiography was successfully completed.
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If a guide were to be needed what would be your choice in case of left and right coronary access, Sir?

drgaganvelayudhan
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Great case Manos. Excellent teaching points. Important also to document the lusoria so that the next time, you can avoid right radial. - Sunil

rao