PMC3927115_01
A critical lesion is seen in the mid portion of the highly tortuous RCA (black arrow)
PWKI-9-21739-g001.jpg
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F0001
Her left coronary system was normal and a critical lesion was observed in the mid portion of the highly tortuous right coronary artery (RCA) (Figure 1).
Vessel is straightened with two floppy guidewires and a balloon delivery system
PWKI-9-21739-g002.jpg
PMC3927115_01_PWKI-9-21739-g002.jpg
F0002
After straightening the RCA with two floppy guidewires and a balloon catheter system (Figure 2), a 2.75 mm x 18 mm sirolimus-eluting stent was implanted in the mid RCA (Figure 3).
A 2.75 mm x 18 mm sirolimus-eluting stent is implanted (black arrow)
PWKI-9-21739-g003.jpg
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F0003
After straightening the RCA with two floppy guidewires and a balloon catheter system (Figure 2), a 2.75 mm x 18 mm sirolimus-eluting stent was implanted in the mid RCA (Figure 3).
Extreme kinking and wrinkles mimicking coronary dissection are observed (black arrows)
PWKI-9-21739-g004.jpg
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F0004
After stent implantation, CAG revealed haziness, extreme coronary kinking and wrinkles in the proximal portion of the RCA (Figures 4A and B).
All of the wrinkles and kinking disappeared after removal of guidewires
PWKI-9-21739-g005.jpg
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F0005
After extraction of guidewires, all of the kinking, wrinkles and haziness disappeared (Figure 5).