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In this patient, the right coronary artery (RCA) is filled with contrast agent. By a natural bypass, that is, the collateral channel (arrows), the left coronary artery (LAD), which is blocked at its origin (ring), is filled with blood.
The radial artery incision is in your forearm, about 2 inches from your elbow and ending about 1 inch from your wrist. If you have this type of bypass, you may be prescribed a medication called a calcium channel blocker for about six months after surgery to help keep the radial artery open.