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Brachial approach directional coronary atherectomy of right coronary artery saphenous vein bypass grafts

✍ Scribed by Lindsey, Richard L. ;Kleist, Paul C.

Publisher
John Wiley and Sons
Year
1991
Tongue
English
Weight
706 KB
Volume
24
Category
Article
ISSN
0098-6569

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✦ Synopsis

We describe here a technique for performing directional coronary atherectomy to right coronary artery saphenous vein bypass grafts from the brachial approach using a long Introducer sheath system. This technique has the advantages of 1) avoiding femoral artery trauma and 2) ease of access into the bypass graft, avoiding occasional problems with guide catheter kinking or non-coaxlal alignment.

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## Abstract Transluminal coronary angioplasty (TCA) of the right coronary artery (RCA) was performed by brachial cut‐down approach in 33 patients during a period of 16 months. Flexible‐tip guiding catheters were used in all cases. TCA was successful in 27 of 33 patients (81%). The stenosis was redu