Challenges of Anomalous Coronary Artery Intervention: Case Series and a Review

T. Rabe, A. Bahekar, S. Arora
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Abstract

Catheter-directed angiography remains the gold standard both for diagnosis and treatment of a coronary artery anomaly (CAA). CAA intervention continues to remains a complicated task even in the hands of experienced operators. The greatest challenges faced in the management of CAAs are delays in identification and difficulty engaging the anomalous coronary artery. Operator experience in promptly identifying the anomaly and selection of the appropriate catheter is critical for successful CAA intervention. We discuss a series of cases where CAAs were encountered during angiography and review the diverse technical difficulties faced by operators during interventions of these congenital anomalies.
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冠状动脉异常介入治疗的挑战:病例系列和综述
导管引导血管造影仍然是诊断和治疗冠状动脉异常(CAA)的金标准。即使在经验丰富的作业者手中,CAA干预仍然是一项复杂的任务。CAAs治疗面临的最大挑战是识别延迟和难以处理异常冠状动脉。操作人员在及时识别异常和选择合适导管方面的经验对于成功的CAA介入至关重要。我们讨论了一系列在血管造影中遇到CAAs的病例,并回顾了手术人员在干预这些先天性异常时面临的各种技术困难。
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