Crossing the calcium spur with “sliding over the balloon technique” in anomalous anterior origin of right coronary artery with two right-angle bends

We present a simple novel technique of crossing the calcium spur at right-angle bend in coronary artery by deploying a noninflated balloon over the calcium spur where the tip of the passing stent frequently hits and create difficulty in negotiation of the stent forward. When we deploy a balloon over...

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Autores principales:	Debasish Das, Debasis Acharya, Jogendra Singh, Subhas Pramanik, Tutan Das
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	balloon technique calcium spur sliding over Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/62e5901ba7064ccaaf5ac793cf35becb
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spelling	oai:doaj.org-article:62e5901ba7064ccaaf5ac793cf35becb2021-11-12T11:12:17ZCrossing the calcium spur with “sliding over the balloon technique” in anomalous anterior origin of right coronary artery with two right-angle bends2251-95722251-958010.4103/rcm.rcm_37_21https://doaj.org/article/62e5901ba7064ccaaf5ac793cf35becb2021-01-01T00:00:00Zhttp://www.rcvmonline.com/article.asp?issn=2251-9572;year=2021;volume=10;issue=3;spage=96;epage=99;aulast=Dashttps://doaj.org/toc/2251-9572https://doaj.org/toc/2251-9580We present a simple novel technique of crossing the calcium spur at right-angle bend in coronary artery by deploying a noninflated balloon over the calcium spur where the tip of the passing stent frequently hits and create difficulty in negotiation of the stent forward. When we deploy a balloon over the calcium spur, the tip of the stent does not hit the edge of the calcium spur and the stent gently slides over the hydrophilic slippery balloon forward with ease. We describe a rare case of intervention in anomalous anterior origin of right coronary artery where we were not able to pass the stent across two 90° bends which were harboring calcium spur. In spite of we adopted buddy wire and triple wire technique to make the bend straight, we were not able to move the stent forward, each time it was hitting at the edge of the calcium spur. We put a 2 mm × 10 mm noninflated semicompliant balloon each time while crossing the right-angle bend with calcium spur which covered the calcium spur and over the balloon we were easily able to slide the stent forward, deployed the stent across the lesion, and achieved distal TIMI III flow. We describe this simple novel technique of “sliding the stent over the balloon technique” to cross the calcium spur remaining at 90°-angle bend causing difficulty in forward negotiation of the stent.Debasish DasDebasis AcharyaJogendra SinghSubhas PramanikTutan DasWolters Kluwer Medknow Publicationsarticleballoon techniquecalcium spursliding overDiseases of the circulatory (Cardiovascular) systemRC666-701ENResearch in Cardiovascular Medicine, Vol 10, Iss 3, Pp 96-99 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	balloon technique calcium spur sliding over Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	balloon technique calcium spur sliding over Diseases of the circulatory (Cardiovascular) system RC666-701 Debasish Das Debasis Acharya Jogendra Singh Subhas Pramanik Tutan Das Crossing the calcium spur with “sliding over the balloon technique” in anomalous anterior origin of right coronary artery with two right-angle bends
description	We present a simple novel technique of crossing the calcium spur at right-angle bend in coronary artery by deploying a noninflated balloon over the calcium spur where the tip of the passing stent frequently hits and create difficulty in negotiation of the stent forward. When we deploy a balloon over the calcium spur, the tip of the stent does not hit the edge of the calcium spur and the stent gently slides over the hydrophilic slippery balloon forward with ease. We describe a rare case of intervention in anomalous anterior origin of right coronary artery where we were not able to pass the stent across two 90° bends which were harboring calcium spur. In spite of we adopted buddy wire and triple wire technique to make the bend straight, we were not able to move the stent forward, each time it was hitting at the edge of the calcium spur. We put a 2 mm × 10 mm noninflated semicompliant balloon each time while crossing the right-angle bend with calcium spur which covered the calcium spur and over the balloon we were easily able to slide the stent forward, deployed the stent across the lesion, and achieved distal TIMI III flow. We describe this simple novel technique of “sliding the stent over the balloon technique” to cross the calcium spur remaining at 90°-angle bend causing difficulty in forward negotiation of the stent.
format	article
author	Debasish Das Debasis Acharya Jogendra Singh Subhas Pramanik Tutan Das
author_facet	Debasish Das Debasis Acharya Jogendra Singh Subhas Pramanik Tutan Das
author_sort	Debasish Das
title	Crossing the calcium spur with “sliding over the balloon technique” in anomalous anterior origin of right coronary artery with two right-angle bends
title_short	Crossing the calcium spur with “sliding over the balloon technique” in anomalous anterior origin of right coronary artery with two right-angle bends
title_full	Crossing the calcium spur with “sliding over the balloon technique” in anomalous anterior origin of right coronary artery with two right-angle bends
title_fullStr	Crossing the calcium spur with “sliding over the balloon technique” in anomalous anterior origin of right coronary artery with two right-angle bends
title_full_unstemmed	Crossing the calcium spur with “sliding over the balloon technique” in anomalous anterior origin of right coronary artery with two right-angle bends
title_sort	crossing the calcium spur with “sliding over the balloon technique” in anomalous anterior origin of right coronary artery with two right-angle bends
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/62e5901ba7064ccaaf5ac793cf35becb
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Crossing the calcium spur with “sliding over the balloon technique” in anomalous anterior origin of right coronary artery with two right-angle bends

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