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Cardiovascular Intervention and Therapeutics

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01-01-2015 | Case Report

A successful treatment for a lesion of chronic total occlusion with contralateral angiography in a single radial access

Authors: Reo Nakamura, Keisuke Ota, Kei Isoda, Nobuyuki Miyai, Takayoshi Sawanishi, Noriyuki Kinoshita

Published in: Cardiovascular Intervention and Therapeutics | Issue 1/2015

Abstract

A 50-year-old man was admitted due to effort chest pain. Coronary angiogram showed a total occlusion of LAD. The 5-French JL 3.5 was engaged into the left coronary artery. The XT-A guidewire was advanced to the distal of the occluded lesion. Contralateral angiography was performed using JL 3.5. The guiding catheter was pullback from the left coronary orifice leaving the guidewire at LAD, and the catheter tip was rotated clockwise to right coronary cusp for right coronary angiography. We could confirm that the guidewire was in the true lumen vessel.

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Title: A successful treatment for a lesion of chronic total occlusion with contralateral angiography in a single radial access
Authors: Reo Nakamura
Keisuke Ota
Kei Isoda
Nobuyuki Miyai
Takayoshi Sawanishi
Noriyuki Kinoshita
Publication date: 01-01-2015
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 1/2015
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-014-0258-4

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