Left anterior descending artery percutaneous coronary intervention from the right radial access via the left internal mammary artery: a case report

被引：3

作者：

Dato, Ilaria ^{[1
]}

Porto, Italo ^{[1
]}

Camaioni, Claudia ^{[1
]}

Crea, Filippo ^{[1
]}

机构：

[1] Univ Cattolica Sacro Cuore, Dept Cardiovasc Med, Rome, Italy

来源：

CARDIOVASCULAR REVASCULARIZATION MEDICINE | 2011年 / 12卷 / 06期

关键词：

Trans-radial access; Coronary artery bypass; Percutaneous coronary intervention; Bleeding complications;

D O I：

10.1016/j.carrev.2011.03.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Trans-radial access in coronary intervention has gained popularity as it grants advantages in patients with higher risk of haemorrhage, especially those with non-cardiac conditions and those treated with oral anticoagulant therapy. Case report: We report a case of percutaneous coronary intervention (PCI) of the left anterior descending (LAD) artery distal to left internal mammary artery (LIMA) anastomosis from the usually contraindicated right radial approach, in an actively bleeding patient affected by gastric cancer and chronic atrial fibrillation, and with no other available low-risk route. Conclusion: LAD trans-LIMA PCI via right radial access can be attempted in selected cases with suitable anatomy. (C) 2011 Elsevier Inc. All rights reserved.

引用

页码：412 / 416

页数：5

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