{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T10:05:23Z","timestamp":1789034723305,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,5]],"date-time":"2025-01-05T00:00:00Z","timestamp":1736035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Anomalous aortic origin of a coronary artery (AAOCA) is a rare congenital anomaly with a large spectrum of anatomical variations. Selective engagement of an AAOCA can present challenges during cardiac catheterization. A comprehensive understanding of the characteristics of major AAOCA can effectively assist operators for selecting and maneuvering catheters. This review outlines the recommended catheter manipulations based on the site of ectopic coronary origin. Identifying the initial course (prepulmonic, subpulmonic, interarterial or retroaortic course) is crucial for classifying each AAOCA. Besides invasive coronary angiography, coronary computed tomography angiography is frequently utilized to enhance the diagnostic assessment. Cardiac catheterization enables the use of intracoronary imaging and physiologic tools for accurately assessing the significance of AAOCA identified as at risk, mainly the anomalies associated with an interarterial course. Intravascular ultrasound is recognized as the gold standard for analyzing AAOCA with interarterial course. Optical tomography coherence imaging can be interesting to evaluate the rare AAOCA with a subpulmonic course, which are associated with ischemic symptoms or myocardial ischemia. Invasive physiological indices using pressure wires can be employed, with the caveat that their threshold values remain uncertain. Decision\u2010making can be challenging for patients with AAOCA. Both non\u2010invasive and invasive imaging tools are essential to support the final choice.<\/jats:p>","DOI":"10.1002\/ccd.31391","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T01:49:11Z","timestamp":1736128151000},"page":"825-837","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Catheterization Techniques for Anomalous Aortic Origin of Coronary Arteries"],"prefix":"10.1002","volume":"105","author":[{"given":"Xavier Halna du","family":"Fretay","sequence":"first","affiliation":[{"name":"Department of Cardiology P\u00f4le Sant\u00e9 Oreliance Saran France"},{"name":"Department of Cardiology Assistance Publique\u2010H\u00f4pitaux de Paris H\u00f4pital Bichat Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Boudvillain","sequence":"additional","affiliation":[{"name":"Department of Cardiology Assistance Publique\u2010H\u00f4pitaux de Paris H\u00f4pital Bichat Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athanasios","family":"Koutsoukis","sequence":"additional","affiliation":[{"name":"Department of Cardiology H\u00f4pital Marie\u2010Lannelongue, Groupe Paris Saint\u2010Joseph Le Plessis\u2010Robinson France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Degrell","sequence":"additional","affiliation":[{"name":"Department of Cardiology Institut National de Chirurgie Cardiaque et de Cardiologie Interventionnelle Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Dupouy","sequence":"additional","affiliation":[{"name":"P\u00f4le Cardiovasculaire Imagerie et Interventionnel, Clinique les Fontaines Melun France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5628-1054","authenticated-orcid":false,"given":"Pierre","family":"Aubry","sequence":"additional","affiliation":[{"name":"Department of Cardiology Assistance Publique\u2010H\u00f4pitaux de Paris H\u00f4pital Bichat Paris France"},{"name":"Department of Cardiology Centre Hospitalier de Gonesse Gonesse France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.01.031"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2009.00463.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2014.05.029"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.37616\/2212-5043.1280"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.01.054"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10650"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.4070\/kcj.2008.38.3.179"},{"key":"e_1_2_11_9_1","first-page":"235","article-title":"A Novel Technique for Percutaneous Coronary Intervention for Anomalous Right Coronary Artery Arising From the Left Sinus of Valsalva","volume":"31","author":"Lin C. 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