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right coronary sinus injection is done to check the position of origin of right coronary artery from the right iotic sinus when there is difficulty in engaging the right coronary osteum during attempted right coronary angiography sinus shot is also taken when the catheter gets wedged in the right coronary artery repeatedly with damping of the cathedral tip pressure tracing to exclude a right coronary or steel lesion in this case the sinus shot shows separate origin of the right coronary artery and the condos artery usually the conus artery is the first branch of right coronary artery and supplies anastomatic vessels to branches of left anterior descending coronary artery they become important in cases of LED occlusion
