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CASE REPORT
Year : 2020  |  Volume : 6  |  Issue : 1  |  Page : 78-80

Use of judkins left as a multipurpose catheter for simultaneous transradial percutaneous coronary angioplasty of left and right coronary arteries: A time-saving and cost-effective innovation


Department of Cardiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India

Correspondence Address:
Kunal Mahajan
Department of Cardiology, Indira Gandhi Medical College, Room Number 310, Shimla - 171 001, Himachal Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpcs.jpcs_77_19

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Proper hardware selection during percutaneous coronary angioplasty (PCI) remains the key to the successful procedure, especially in the setting of an acute coronary syndrome (ACS) where minimizing the procedure time and the amount of dye is of utmost importance. Recent studies have demonstrated the benefit of complete revascularization in cases of multivessel disease in the ACS setting. During transradial intervention in a case of multivessel PCI, guiding catheter-induced radial artery spasm is a major concern. People have used guiding catheters such as Ikari for simultaneous PCI of right and left coronary arteries. This minimizes the risk of radial spasm and saves precious time, especially in the setting of ACS where each second counts. Limited data exist regarding the use of Judkins left (JL) catheter for PCI of simultaneous right and left coronary artery. Here, we describe an interesting case of simultaneous PCI of left anterior descending – infarct-related artery and right coronary artery – chronic total occlusion through transradial route using JL guide catheter in the setting of ACS.


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