Korean Circ J.  2020 Nov;50(11):1045-1047. 10.4070/kcj.2020.0110.

Optical Coherent Tomographic (OCT) Finding of Radial Arterial Recanalization

Affiliations
  • 1Regional Cardiovascular Disease Center, Chungbuk National University Hospital, Cheongju, Korea
  • 2Division of Cardiology, Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea
  • 3Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine and Cardiovascular Center, Yongin Severance Hospital, Yongin, Korea


Figure

  • Figure 1 Radial arterial angiography via sheath at right anatomical snuffbox revealed intraluminal hazziness at previous radial puncture site for transrdial intervention 10 years ago.

  • Figure 2 A tomographic image of recanalized radial artery revealed a lotus root-like appearance. Co-registration image and long view provided the information of lesion location.

  • Figure 3 Three-dimentional reconstruction of the recanalization thrombosis in fly-through mode (A) and in navigation mode (B) of optical coherence tomography image.


Reference

1. Kim Y, Ahn Y, Kim I, et al. Feasibility of coronary angiography and percutaneous coronary intervention via left snuffbox approach. Korean Circ J. 2018; 48:1120–1130. PMID: 30088362.
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2. Kim Y, Lee JW, Lee SY, et al. Feasibility of primary percutaneous coronary intervention via the distal radial approach in patients with ST-elevation myocardial infarction. Korean J Intern Med. 2020.
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3. Kang SJ, Nakano M, Virmani R, et al. OCT findings in patients with recanalization of organized thrombi in coronary arteries. JACC Cardiovasc Imaging. 2012; 5:725–732. PMID: 22789941.
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4. Kadowaki H, Taguchi E, Kotono Y, et al. A lotus root-like appearance in both the left anterior descending and right coronary arteries. Heart Vessels. 2016; 31:124–128. PMID: 25142445.
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5. Bae DH, Lee SY, Lee DI, Kim SM, Bae JW, Hwang KK. Percutaneous angioplasty at previous radial puncture site via distal radial access of anatomical snuffbox. Cardiol J. 2019; 26:610–611. PMID: 31701513.
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