Evaluation of Left Internal Mammary Artery during Right Transradial Coronary Angiography: A New, Fast and Reliable Technique

Cha Kwang Soo, Kim Moo Hyun, Yang Chang Ho, Kim Sang Gon, Kim Kwang Jin, Keum Dong Joo, Hyeong Kweon Kim, Young Dae Kim, Jong Soo Woo, Jong Seong Kim
1999 Korean Circulation Journal  
The technique to evaluate left internal mammary artery LIMA is not well established during right transradial coronary angiography. Materials and Methods Following coronary angiography via right radial artery, LIMA angiography was performed using 5 French F Judkins JL-3.5 catheter in 110 patients 56 9 years range 46 81 , 77 males . Eleven 10% patients had grafted LIMAs. Subclavian and innominate arteries were moderately tortuous in 14 13% patients and aortic arches elongated and more vertically
more » ... riented in 16 15% . The catheter, standing in the ascending aorta with its natural curve, was withdrawn slowly while being rotated clockwise to engage its tip in the proximal left subclavian artery. After the tip portion was adjusted, contrast material was injected while sphyngomanometer cuff inflation applied to the left upper arm. Results Nonselective LIMA angiography was successfully performed in 108 98% patients. The catheter was engaged in the subclavian artery in a mean of 11 8 seconds range 3 136 from the time when the catheter was withdrawn from the ascending aorta. The image quality of LIMA was satisfactory in 103 95% patients and not satisfactory in 5 5% in whom the catheter tip was not placed near the origin of LIMA. In ten 91% of the 11 patients with grafted LIMA, the anastomosis site and distal coronary vessels were well visualized. There were no complications, including arterial dissection and thromboembolism. Conclusion Nonselective technique using 5 F Judkins JL-3.5 catheter is easy, fast, safe and reliable for evaluating LIMA during right transradial coronary angiography. Korean Circulation J 1999 ; 29 10 : 1063-1069 KEY WORDS Mammary artery·Angiography·Radial artery.
doi:10.4070/kcj.1999.29.10.1063 fatcat:4nbijv4g25hgbesrxjarz63dpm