Abstract
According to European guidelines, radiation access is a priority of choice for patients with coronary heart disease. If there are technical difficulties associated with catheterization of the radial artery, the femoral artery, the contralateral radial artery or the ulnar artery may become access. The convenience of using femoral arterial access in the recanalization of chronic coronary artery occlusions lies in the enhanced support of the guide catheter in the target vessel and the use of instruments with a larger diameter. However, there are risks of changing access due to the altered anatomy of the aorto-iliac segment during catheterization or hemorrhagic complications after femoral artery hemostasis. Using this clinical example, we would like to show that with normal anatomy of the radial and ulnar arteries without a tendency to spasm when catheters of the appropriate diameter are inserted, it is possible to recanalize chronic occlusion of the coronary artery from the radial and ipsilateral ulnar arteries of one hand, eliminating the risk of hemorrhagic complications of hemostasis.
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About the authors
- Sergey A. Korotkikh, Postgraduate, Surgeon; ORCID
- Oleg A. Derbenev, Dr. Med. Sci., Head of Department, Professor of Chair, Сardiac Surgeon;
ORCID
- Aleksandr L. Kaledin, Cand. Med. Sci., Surgeon; ORCID
- Sergey S. Seletskiy, Сardiac Surgeon; ORCID
- Vladislav Yu. Khlebnikov, Cand. Med. Sci., Assistant of Chair, Anesthesiologist; ORCID
