Successful use of the right brachial approach to perform directional atherectomy of the left coronary artery.
Although directional coronary atherectomy permits the treatment of complex coronary lesions, its use is limited in patients with peripheral vascular disease by the need to use a large guiding catheter. We describe a patient in whom the right brachial approach was successfully used to perform atherectomy of a semi-protected left main coronary stenosis.
Michelson
B
B
Division of Cardiology, University of Maryland, Baltimore.
Schwengel
R H
RH
English
P
P
Patrick
C
C
Herpel
K
K
Ziskind
A A
AA
D000368:Aged; D017225:Atherectomy, Coronary / Q000295:instrumentation; D001916:Brachial Artery; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D012008:Recurrence