Рет қаралды 3,972
A patient with prior coronary artery bypass graft surgery presented with NSTEMI due to a severe proximal right coronary artery lesion with an adjacent large coronary aneurysm. A decision was made to treat the lesion and the aneurysm. Using an 8 French guide via femoral access the lesion and the aneurysm were wired using a Caravel microcatheter and a Fielder FC guidewire. Despite predilation and use of a Grand Slam wire delivery of a 5.0x26 mm Papyrus covered stent failed. The RCA was re-engaged with an 8 French AL1 guide catheter but delivery failed again. An 8 French Guideliner was inserted to the mid RCA using the inch worming technique, through which a 4.0x26 mm Papyrus stent was successfully delivered and deployed treating the lesion and the aneurysm. After deploying a 4.0x18 DES all the way to the ostium a nice final result was achieved.