Advertisement

A novel method for angiography of the left internal thoracic artery from a right arm approach using a YUMIKO-LITA catheter

      On the basis of the current use of coronary angiographic techniques, the right brachial or right radial approach is widely performed. With these approaches, catheters of smaller sizes (5Fr to 6Fr) are mainly used. These techniques are less invasive and enable reduction of both the hospitalization period and adverse events caused by the catheterization procedure. Coronary artery bypass surgery using the left internal thoracic artery (LITA) graft has also been advanced because of its long-term patency.
      • Loop F.D.
      • Lytle B.W.
      • Cosgrove D.M.
      • Stewart R.W.
      • Goormastic M.
      • Williams G.W.
      • Golding L.A.R.
      • Gill C.C.
      • Taylor P.C.
      • Sheldon W.C.
      • Proudfit W.L.
      Influence of the internal mammary artery graft on 10-year survival and other cardiac events.
      ,
      • Okies J.E.
      • Page U.S.
      • Bigelow J.C.
      • Krause A.H.
      • Salomon N.W.
      The left internal mammary artery: the graft of choice.
      ,
      • Bourassa M.G.
      • Fisher L.D.
      • Campeau L.
      • Gillespie M.J.
      • McConney M.
      • Lesperance J.
      Long-term fate of bypass grafts the Coronary Artery Surgery Study (CASS) and Montreal Heart Instutute experience.
      Thus, angiography of the LITA is important for follow-up study after bypass surgery. However, angiography of the LITA performed by a right arm approach is considered difficult, so it is frequently performed by the femoral or left arm approach.
      • Rainier W.G.
      • Sadler U.S.
      • Bigelow J.C.
      • Krause A.H.
      • Salomon N.W.
      The left internal mammary arteriography prior to coronary artery bypass surgery.
      Currently, the RLIMA catheter (Caudis Corp., Miami, Florida, 5Fr) or the BMI catheter (Caudis, 8Fr) are used to performed LITA angiography from a right arm approach. However, there have never been established techniques or specific catheters for right arm LITA angiography. We designed a novel YUMIKO-LITA catheter for angiography of the LITA by the right brachial or radial approach. We report our experience with its use.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Cardiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Loop F.D.
        • Lytle B.W.
        • Cosgrove D.M.
        • Stewart R.W.
        • Goormastic M.
        • Williams G.W.
        • Golding L.A.R.
        • Gill C.C.
        • Taylor P.C.
        • Sheldon W.C.
        • Proudfit W.L.
        Influence of the internal mammary artery graft on 10-year survival and other cardiac events.
        N Engl J Med. 1986; 314: 1-6
        • Okies J.E.
        • Page U.S.
        • Bigelow J.C.
        • Krause A.H.
        • Salomon N.W.
        The left internal mammary artery: the graft of choice.
        Circulation. 1984; 70: I-213-I-221
        • Bourassa M.G.
        • Fisher L.D.
        • Campeau L.
        • Gillespie M.J.
        • McConney M.
        • Lesperance J.
        Long-term fate of bypass grafts.
        Circulation. 1985; 72: V-71-V-78
        • Rainier W.G.
        • Sadler U.S.
        • Bigelow J.C.
        • Krause A.H.
        • Salomon N.W.
        The left internal mammary arteriography prior to coronary artery bypass surgery.
        Chest. 1973; 64: 523-524
        • Bashour T.T.
        • Hanna E.S.
        • Mason D.T.
        Myocardial revascularization with internal mammary artery bypass.
        Am Heart J. 1986; 111: 143-151
        • Singh R.N.
        • Sosa J.A.
        • Green G.E.
        Internal mammary artery versus saphenous vein graft, comparative performance in patients with combined revascularization.
        Br Heart J. 1983; 50: 48-58
        • Loop F.D.
        • Irarrazaval M.J.
        • Bredee J.J.
        • Siegel W.
        • Taylor P.C.
        • Sheldon W.C.
        Internal mammary artery graft for ischemic heart disease.
        Am J Cardiol. 1977; 39: 516-522
        • Singh R.N.
        Radiographic anatomy of the internal mammary arteries.
        Cathet Cardiovasc Diagn. 1981; 7: 373-386
        • Singh R.N.
        Atherosclerosis of the internal mammary arteries.
        Cardiovas Intervent Radiol. 1983; 6: 72-77
        • Kuntz R.E.
        • Baim D.S.
        Internal mammary angiography.
        Cathet Cardiovasc Diagn. 1990; 20: 10-16
        • Singh R.N.
        Internal mammary arteriography.
        Cathet Cardiovasc Diagn. 1980; 6: 439-449