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A case report of virtual reality-guided percutaneous coronary intervention for anomalous origin of right coronary artery chronic total occlusion.

ABSTRACT:

Background

Engagement of the guiding catheter (GC) for the coronary artery is sometimes difficult, depending on the patient's anatomy. The most suitable GC before percutaneous coronary intervention (PCI) in individual cases has not been determined yet.

Case summary

An 81-year-old woman who had a right coronary artery chronic total occlusion had difficulty to engage the catheter for the right coronary artery in the first examination. Virtual reality (VR)-guided GC simulation before PCI using cardiac computed tomography (CT) could overcome the difficulty of GC engagement for the coronary artery and achieve procedure success.

Discussion

VR-guided GC simulation has the potential to solve the catheter approach difficulty for any cardiovascular intervention.

SUBMITTER: Higami H

PROVIDER: S-EPMC10606233 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature

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Publications

A case report of virtual reality-guided percutaneous coronary intervention for anomalous origin of right coronary artery chronic total occlusion.

Higami Hirooki H Saito Hiroki H Endo Hideaki H Matsuo Hitoshi H Tsuchikane Etsuo E

European heart journal. Case reports 20231011 10

<h4>Background</h4>Engagement of the guiding catheter (GC) for the coronary artery is sometimes difficult, depending on the patient's anatomy. The most suitable GC before percutaneous coronary intervention (PCI) in individual cases has not been determined yet.<h4>Case summary</h4>An 81-year-old woman who had a right coronary artery chronic total occlusion had difficulty to engage the catheter for the right coronary artery in the first examination. Virtual reality (VR)-guided GC simulation before ...[more]

PMID: 37900664

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