Kare H Tang
United Kingdom
Case Report
Bilateral Trans-radial/ulnar Access for Percutaneous Recanalization of a Chronic Total Coronary Artery Occlusion using Antegrade Dissection and Re-entry
Author(s): Abdul M Mozid, Kare H Tang and John R DaviesAbdul M Mozid, Kare H Tang and John R Davies
Percutaneous Coronary Intervention (PCI) for Chronic Total Occlusions (CTOs) necessitates dual arterial access to allow visualisation of the vessel both proximal and distal to the occlusion as well as the course of interventional collaterals. Potential access sites include bilateral femoral, combination of femoral and radial and bilateral radial arteries. Trans-ulnar access has been shown to be safe and feasible in patients with weak radial pulses and this is a further option. The advantages of radial/ulnar access relate to reduction in access site bleeding complications, which is particularly pertinent in CTO PCI where 7-8Fr guiding catheters are usually required. We describe a case of a patient undergoing repeat attempt at PCI of a Right Coronary Artery (RCA) CTO, the first attempt having been complicated by a life threatening retroperitoneal haemorrhage secondary to 8Fr femoral art.. View More»
