Journal
JACC-CARDIOVASCULAR INTERVENTIONS
Volume 14, Issue 9, Pages 995-1008Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jcin.2021.01.054
Keywords
anomalous coronary artery; anomalies of coronary artery; catheter selection; coronary arteries anomalies
Categories
Funding
- AstraZeneca
- Biotronik
- Boston Scientific
- Chiesi
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Although congenital coronary artery anomalies are relatively rare, they are the second most common cause of sudden cardiac death among young athletes. When encountered in the cardiac catherization laboratory, they are often challenging to selectively engage, requiring multiple catheters, plus increased contrast volume and radiation exposure. In the setting of acute coronary syndromes, it is not infrequent that percutaneous intervention is delayed because of the inability to engage an anomalous coronary artery. The aim of this review is to provide a comprehensive and concise overview of coronary artery anomalies, with particular attention to diagnostic and guide catheter selection for each type of anomaly and recommendations on how to recognize the vessel course angiographically.
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