How to perform a percutaneous coronary intervention, when no conventional arterial access site is available: A case report

被引:0
作者
Vijayvergiya, Rajesh [1 ]
Uppal, Lipi [1 ]
Kasinadhuni, Ganesh [1 ]
Revaiah, Pruthvi C. [1 ]
Palanivel, Rajan [1 ]
Lal, Anupam [2 ]
机构
[1] Postgrad Inst Med Educ & Res, Dept Cardiol, Adv Cardiac Ctr, Sect 12, Chandigarh 160012, India
[2] Postgrad Inst Med Educ & Res, Adv Cardiac Ctr, Radiodiag, Chandigarh, India
关键词
Aorto-iliac disease; aortoiliac stenting; iliac artery perforation; percutaneous coronary intervention; DISEASE; MANAGEMENT;
D O I
10.1177/1129729820946915
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Coronary artery disease is one of the leading causes of mortality in the world. The presence of concomitant peripheral artery disease increases the risks of cardiovascular events along with limiting the arterial access for coronary intervention. Invasive management of such cases includes either alternate site access or combined peripheral and coronary revascularization. We hereby report a patient of the infrarenal abdominal aorta and bilateral subclavian arterial occlusion, who presented with acute coronary syndrome. To perform the percutaneous coronary intervention, we first performed the endovascular stenting of occluded aortoiliac disease, followed by stenting of the right coronary artery. We had discussed the limitation of arterial access to perform PCI in such a situation.
引用
收藏
页码:946 / 949
页数:4
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