Document Detail

Direct stenting of a transradial left internal mammary artery graft.
MedLine Citation:
PMID:  15008328     Owner:  NLM     Status:  MEDLINE    
Taking the transfemoral approach when performing a left internal mammary artery (LIMA) graft intervention is generally recognized as posing significant technical challenges. However, little has been reported on alternative transradial approaches to LIMA. In this report, we present our experience in a patient who had anastomosis-site LIMA graft stenosis and was successfully treated with direct stenting. We used a 6-French Kimny guiding catheter inserted through the left radial artery, even though the procedure was complicated by an acute occlusion of a LIMA body, requiring bail-out stenting following intra-aortic balloon pump support and temporary cardiac pacing. The patient was discharged 6 days after the procedure and remains asymptomatic during follow-up visits. Our results suggest that a transradial approach is feasible for LIMA intervention procedures.
Wei-Chin Hung; Bih-Fang Guo; Chiung-Jen Wu; Chien-Jen Chen; Chih-Yuan Fang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chang Gung medical journal     Volume:  26     ISSN:  2072-0939     ISO Abbreviation:  Chang Gung Med J     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-03-10     Completed Date:  2004-04-08     Revised Date:  2008-12-16    
Medline Journal Info:
Nlm Unique ID:  101088034     Medline TA:  Chang Gung Med J     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  925-9     Citation Subset:  IM    
Section of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaoshiung, Taiwan, ROC.
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MeSH Terms
Internal Mammary-Coronary Artery Anastomosis*
Mammary Arteries*
Postoperative Complications
Vascular Patency

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