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Use of guideliner catheter for anomalous right coronary artery angiography and intervention.

We report a case of the use of the GuideLiner catheter during transfemoral diagnostic angiography and intervention of an anomalous right coronary artery (RCA) after unsuccessful attempts to cannulate the RCA with other catheters. The GuideLiner catheter was successfully employed to coaxially engage the ostium of the RCA. Thrombotic disease appeared to be responsible for non-ST elevation myocardial infarction. The GuideLiner catheter allowed visualization of the lesions and delivery of the stent in an anomalous RCA which could not have been otherwise coaxially engaged.