title: Successful use of the right brachial approach to perform directional atherectomy of the left coronary artery.
abstract: 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.
authors.affiliation: Division of Cardiology, University of Maryland, Baltimore.
authors.forename: B
authors.initials: B
authors.lastname: Michelson
authors.forename: R H
authors.initials: RH
authors.lastname: Schwengel
authors.forename: P
authors.initials: P
authors.lastname: English
authors.forename: C
authors.initials: C
authors.lastname: Patrick
authors.forename: K
authors.initials: K
authors.lastname: Herpel
authors.forename: A A
authors.initials: AA
authors.lastname: Ziskind
mesh_terms: 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