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首页> 美国卫生研究院文献>Journal of Cardiology Cases >Radial approach is better than the femoral one in anomalous high RCA take-off from the left-anterior part of the ascending aorta
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Radial approach is better than the femoral one in anomalous high RCA take-off from the left-anterior part of the ascending aorta

机译：在升主动脉左前部异常高RCA起飞时ial骨入路比股骨入路好

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An anomalous right coronary artery (RCA) with a high anterior take-off from ascending aorta is an uncommon and technically challenging vessel to cannulate. There are only a few reports in the literature describing this anomaly. Some of them consider it as a “very rare” or even “extremely rare” anomaly. Here we present a case of anomalous RCA arising from antero-left part of the ascending aorta, 3 cm above sinotubular junction. It was impossible to cannulate the anomalous vessel from the femoral approach by two experienced operators, despite using various catheters. The vessel could easily be engaged from the right radial approach at first attempt. We conclude that in patients with anomalous high RCA take-off from anterior or especially left-anterior part of the ascending aorta, we suggest to switch to the right radial approach and not to lose much time on the femoral one.<>Learning objective: The aim of this case is to show superiority of the right radial approach in engaging anomalous RCA coming high from ascending aorta. If you see an anomalous RCA originating highly from anterior or antero-left part of the ascending aorta, do not waste much time trying to engage it from femoral approach, as we did, it's almost impossible. Switch to the right radial approach using simple JR, or even better, LCB catheter, and you will succeed.>
机译：右冠状动脉异常（RCA）从升主动脉前部高位起飞是一种不常见且在技术上具有挑战性的导管。文献中只有很少的报道描述这种异常。他们中的一些人将其视为“非常罕见”甚至“极其罕见”的异常。在这里，我们提出了一个病例，它是由升主动脉的左前部分在鼻管交界上方3厘米处引起的RCA异常。尽管使用了各种导管，但是由两名经验丰富的操作员不可能通过股骨入路为异常血管插管。第一次尝试时，可以很容易地从右径向进近接合血管。我们得出的结论是，对于从升主动脉的前部或尤其是左前部异常高RCA起飞的患者，我们建议改用right骨入路，不要在股骨上浪费太多时间。 strong>目的：本例的目的是显示右radial骨入路在处理升主动脉引起的异常RCA方面的优越性。如果您看到异常的RCA高度起源于升主动脉的前部或左前角部分，请不要像我们一样浪费太多时间尝试通过股动脉入路进行接合，这几乎是不可能的。使用简单的JR甚至更好的LCB导管切换到正确的radial骨入路，您将成功。

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