Project description:Coronary artery perforation is a rare but serious complication during percutaneous coronary intervention. Distal or small vessel perforation is usually treated by coil, fat, or microsphere embolization. We describe 5 cases of distal coronary perforation that were managed successfully by a novel technique that uses absorbable sutures. (Level of Difficulty: Advanced.).

| S-EPMC8853958 | biostudies-literature

Visualization of the Thebesian veins during coronary angiography in a 57-year-old woman.

Project description:A 57-year-old woman was hospitalized due to a type 2 respiratory failure. Electrocardiogram at admission showed inverted T waves in leads V2-V4. Coronary angiogram was performed showing no relevant stenosis. However, this exam allowed visualization of the Thebesian veins outlining the left ventricle.

| S-EPMC7393943 | biostudies-literature

Coronary sinus atresia with unroofed coronary Sinus: developed collateral coronary vein evaluated by cardiac computed tomography.

Project description: Not available

| S-EPMC9549592 | biostudies-literature

Incidental Cannulation of Left Ventricular Thebesian Vein.

Project description: Not available

| S-EPMC7529075 | biostudies-literature

Coronary angiography using the left distal radial approach - An alternative site to conventional radial coronary angiography.

Project description:OBJECTIVE:To share our experience with the left distal radial approach for transradial coronary angiography and interventions. By performing the radial puncture in the fossa radialis or the so called anatomical "Snuffbox" we aimed to present the feasibility and complications of this new technique. METHODS:Left distal radial artery was used as an access site in 54 patients admitted to our clinic for coronary angiography and intervention between May 25th and October 20th 2017. All of them had pulse in their left distal radial artery. In the laboratory, they had their left arm gently flexed at the shoulder so that the hand was placed over their right groin. The operator stood on the right side of the patient and performed coronary angiography and interventions. During the hospital stay, demographic features and complications were recorded. RESULTS:Mean age of patients was 59.3 years and 80% were male. We used Judkins 6 French catheters for the procedures. Seventeen patients admitted with acute coronary syndrome. They all underwent successful left distal transradial coronary angiography and intervention. Primary angioplasty was performed in 10 patients. In total, 20 patients had coronary intervention. Left anterior descending artery was the artery requiring most intervention (11 patients). Two patients experienced brachial spasm requiring crossover to right femoral artery. There were no cases of radial artery occlusion, hematoma, or hand numbness. The radial sheath was removed at procedure termination. Hemostasis was achieved with manual compression. CONCLUSION:Left distal radial approach is safe and feasible as a new technique for coronary angiography and interventions.

| S-EPMC5998856 | biostudies-other

Successful coronary angiography via distal radial access in an 82-year-old male patient with polydactyly.

Project description: Not available

| S-EPMC10790034 | biostudies-literature

Inadvertent temporary pacemaker lead placement in aortic sinus.

Project description:Inadvertent placement of pacing leads into abnormal locations is potentially very dangerous. However, in emergency situations and without fluoroscopic guidance, these complications do occur. We report a case of an elderly male who underwent temporary pacemaker lead implantation without fluoroscopic guidance for cardiac arrest, but later the pacemaker lead was found to be in the non-coronary aortic sinus, but still capturing the myocardium. Interestingly, the post-pacing electrocardiography was mimicking atrial pacing.

| S-EPMC3970375 | biostudies-literature

Small cardiac vein connecting the coronary sinus with the right atrium.

Project description: Not available

| S-EPMC10990056 | biostudies-literature