Tag Archives: cardiac catheterisation

Introduction Introduced by Dr Lucien Campeau in 1989, transradial vascular access (TRA) is now the standard approach for diagnostic coronary angiography due to a reduced incidence of complications compared with femoral access, increased patient satisfaction, a quicker recovery time and a reduction in mortality in those with ST-elevation myocardial infarction (STEMI).1 Radial access is associated with a 77% reduction in major vascular complications compared with transfemoral access, and is, therefore, recommended as the default access for patients presenting with acute coronary syndromes in current European Society of Cardiology (ESC) guidelin

Introduction The human coronary system is normally comprised of a right and left coronary artery that feed respective regions of the heart. The right and left coronary arteries usually arise from the area superior to their respective coronary cusp, known as the sinus of Valsalva. However, it has been found that approximately 1.33% of humans have coronary artery anomalies. R-II Lipton classification coronary artery anomalies are found in only 0.015% of the population and 1.1% of coronary anomalies.1 We present the case of a 55-year-old man with a R-IIP modified Lipton classification coronary artery anomaly. Case presentation Figure 1. Cardiac

Introduction Little observational data exist on the outcome of diagnostic cardiac catheterisation (DCC) in older people. In England and Wales, the population aged over 80 years is growing faster than any other age group.1DCC in these older patients may reveal widespread and complex coronary disease less suitable for percutaneous coronary intervention (PCI), and age-related comorbidity may preclude surgical intervention. We conducted a retrospective, case-controlled study to examine the outcome, influence on management and complications of DCC in patients aged 80 years and older. The findings were compared with patients aged less than 70 years

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