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A 42-year-old lady with multiple cardiovascular risk factors and exertional angina was referred for percutaneous coronary intervention to a tight stenosis of her proximal left anterior descending (LAD) coronary artery. The left circumflex (LCX) and right coronary arteries were mildly diseased.
The elective procedure was initiated via a right radial artery approach using a 6F radial sheath (Cook), which proved difficult to advance due to radial artery spasm. A Q4 guide catheter (Boston Scientific) …
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