BVS in Anomalous, Tortuous Vessels Treated by Radial Approach (Case #1, Video #1)

Case #1: Anomalous right coronary artery percutaneous intervention with BVS

A 67-year-old non-diabetic male patient presented with crescendo angina for 3 days. His treadmill test for inducible ischemia was positive one month prior. We chose radial access, which is routine in our practice. Coronary angiogram showed a critical proximal right coronary artery (RCA) lesion arising anomalously from the left sinus near the origin of the left coronary artery (Figure 1A, Video 1). Through a right radial approach, the anomalous RCA was wired with the tip of a 6 French (Fr) Amplatz Right 1 guiding catheter non-selectively in the left sinus (Video 2). After pre-dilatation, a 3.5 x 12mm BVS (Absorb, Abbott Vascular) was advanced into the anomalous RCA and deployed across the proximal lesion to achieve a good angiographic result (Figure 1B, Video 3). It was a short lesion in the proximal segment and was adequately pre-dilated. The Absorb scaffold tracked well into the vessel with buddy wire support, even though the guide was not very supportive.

This video accompanies the article, "Bioresorbable Vascular Scaffolds in Anomalous and Tortuous Vessels Treated by Radial Approach."