Catheter Selection and Angiographic Views for Anomalous Coronary Arteries: A Practical Guide

JACC Cardiovasc Interv. 2021 May 10;14(9):995-1008. doi: 10.1016/j.jcin.2021.01.054.

Abstract

Although congenital coronary artery anomalies are relatively rare, they are the second most common cause of sudden cardiac death among young athletes. When encountered in the cardiac catherization laboratory, they are often challenging to selectively engage, requiring multiple catheters, plus increased contrast volume and radiation exposure. In the setting of acute coronary syndromes, it is not infrequent that percutaneous intervention is delayed because of the inability to engage an anomalous coronary artery. The aim of this review is to provide a comprehensive and concise overview of coronary artery anomalies, with particular attention to diagnostic and guide catheter selection for each type of anomaly and recommendations on how to recognize the vessel course angiographically.

Keywords: anomalies of coronary artery; anomalous coronary artery; catheter selection; coronary arteries anomalies.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Catheters
  • Coronary Angiography
  • Coronary Vessel Anomalies* / complications
  • Coronary Vessel Anomalies* / diagnostic imaging
  • Coronary Vessel Anomalies* / therapy
  • Humans
  • Treatment Outcome