case_images: PMC3785211_01
case_images: Cannulation of the right coronary artery from right radial access, with 4 french JR4 catheter for diagnostic coronary angiography.
case_images: ccrep-1-2008-013f1.jpg
case_images: PMC3785211_01_ccrep-1-2008-013f1.jpg
case_images: f1-ccrep-1-2008-013
case_images: No catheter waveform change was noted. 4 french JR4 catheter was placed into the right coronary artery without any difficulty (Fig. 1).
case_images: Attempt at selective cannulation of right coronary artery ostium using a MAC 3.0 catheter (unsuccessful), using right femoral access.
case_images: ccrep-1-2008-013f3.jpg
case_images: PMC3785211_01_ccrep-1-2008-013f3.jpg
case_images: f3-ccrep-1-2008-013
case_images: AR1, MAC 3, MAC 3.5, catheters for approximately two hours, to engage right coronary artery ostium (Figs. 3-4).
case_images: Successful cannulation of right coronary artery ostium using JR4 guide catheter using right radial access (first attempt).
case_images: ccrep-1-2008-013f4.jpg
case_images: PMC3785211_01_ccrep-1-2008-013f4.jpg
case_images: f4-ccrep-1-2008-013
case_images: AR1, MAC 3, MAC 3.5, catheters for approximately two hours, to engage right coronary artery ostium (Figs. 3-4).
case_images: Cutting balloon (4.0/15mm) inflation at right coronary ostium using JR4 guide catheter from right radial access.
case_images: ccrep-1-2008-013f5.jpg
case_images: PMC3785211_01_ccrep-1-2008-013f5.jpg
case_images: f5-ccrep-1-2008-013
case_images: Radiofocus Glidesheath (Terumo Medical) was introduced in the right radial artery and 6 french JR4 guiding catheter was placed in the ascending aorta. Right coronary ostium was engaged at the first attempt (Fig. 5).
case_images: Stent deployment (5.0/18 mm Herculink) at right coronary artery ostium using JR4 guide catheter from right radial access.
case_images: ccrep-1-2008-013f6.jpg
case_images: PMC3785211_01_ccrep-1-2008-013f6.jpg
case_images: f6-ccrep-1-2008-013
case_images: The guidewire was promptly placed in the distal right coronary artery and 4.0/15 mm Cutting balloon was used to pre-dilate the right coronary ostium with 1 inflation at 14 atmospheres for 120 seconds (Fig. 6).
case_images: Final result after transradial intervention.
case_images: ccrep-1-2008-013f7.jpg
case_images: PMC3785211_01_ccrep-1-2008-013f7.jpg
case_images: f7-ccrep-1-2008-013
case_images: The stent was post-dilated with the same balloon with two inflations at 20 atmospheres for 15 seconds each (Fig. 7).