ArticleCureus2025
Primary Percutaneous Coronary Intervention in Single Ostium Coronary Arteries: Challenges and Considerations.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Single Coronary Artery in the Context of Vascular Disease: Anatomy, Development, Multimodality Imaging, and Clinical Interpretation.Journal of clinical medicine · 2026Review
- Coronary Artery Anomalies and Anatomical Variants: Cross-Sectional Diagnostic Imaging and Clinical Background.Journal of imaging · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Coronary anomalies occur in a very small proportion of the general population. One such anomaly is a single ostium coronary artery (SOCA). Primary percutaneous coronary intervention (PCI) in SOCA can pose significant challenges due to anatomical complexity or hardware selection. We present the case of a 59-year-old man who presented to the emergency department with typical chest pain and electrocardiographic evidence of inferior wall ST-segment elevation myocardial infarction (STEMI). The patient subsequently underwent coronary angiography via a radial approach. Angiography revealed the left main coronary artery (LMCA) giving rise to a dominant right coronary artery (RCA), anatomically classified as Shirani-Roberts Type 1B. The distal RCA was sub-totally occluded just proximal to the crux. The patient subsequently underwent successful primary PCI to RCA. Computed tomography coronary angiography (CTCA) is advised in anomalous origin RCA to delineate malignant anatomy. In our case, this was not performed due to the financial constraints of the patient, leaving the exact course of the RCA undetermined. Our case report highlights the importance of operator expertise, catheter selection, and individualized strategies for managing coronary anomalies. It emphasizes that early recognition and tailored procedural planning are critical to optimizing outcomes in patients with SOCA presenting with acute coronary syndromes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.