Abstract
Percutaneous coronary intervention through a tortuous left internal mammary artery (LIMA) graft, especially with redundancy in length is a challenge in spite of availability of different types of coated guidewires and low-profile balloons. Various modifications of the interventional technique are required in order to negotiate the tortuosity of the LIMA graft. We describe an alternative technique that overcomes this problem in patient with a markedly tortuous LIMA graft.
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MJ Kern RG Bach TJ Donohue et al. (1996) Difficult angioplasty situations MJ Kern U Deligonul (Eds) The Interventional Cardiac Catheterization Handbook Mosby St. Louis 315
S Sharma RM. Makkar (2003) ArticleTitlePercutaneous intervention on the LIMA: tackling the tortuosity J Invasive Cardiol 15 359–362 Occurrence Handle12777679
FK Nakhjavan S. Kothapalli (1992) ArticleTitleAngioplasty of tortuous left internal mammary artery: description of a new technique Cathet Cardiovasc Diagn 27 135–136 Occurrence Handle1446335
DA. Morrison (1990) ArticleTitleCoronary angioplasty for medically refractory unstable angina in patients with prior coronary bypass surgery Cathet Cardiovasc Diagn 20 174–181 Occurrence Handle1973073
AP Dimas RR Arora PL Whitlow et al. (1992) ArticleTitlePercutaneous transluminal angioplasty involving internal mammary artery grafts Am J Cardiol 122 423–429
JJ Popma RH Cooke MB Leon et al. (1992) ArticleTitleImmidiate procedural and long-term clinical results of internal mammary artery angioplasty Am J Cardiol 69 1237–1239 Occurrence Handle10.1016/0002-9149(92)90943-S Occurrence Handle1575197
MH Sketch PJ Quigley JA Perez et al. (1992) ArticleTitleAngiographic follow-up after internal mammary artery graft angioplasty Am J Cardiol 70 401–403 Occurrence Handle10.1016/0002-9149(92)90632-9 Occurrence Handle1632416
FE Shamoon J Goldstein JI. Haft (1997) ArticleTitleRestoration of patency of left internal mammary artery graft with progression of the underlying left anterior descending coronary artery disease Cathet Cardiovasc Diagn 42 213–215 Occurrence Handle10.1002/(SICI)1097-0304(199710)42:2<213::AID-CCD28>3.0.CO;2-N Occurrence Handle9328713
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Tengiz, I., Aliyev, E. & Ercan, E. An Alternative Percutaneous Interventional Approach for Post-anastomatic Left Anterior Descending Artery Stenosis in Patients with Markedly Tortuous LIMA Graft. Int J Cardiovasc Imaging 21, 491–494 (2005). https://doi.org/10.1007/s10554-005-0369-1
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DOI: https://doi.org/10.1007/s10554-005-0369-1