title: Primary percutaneous coronary intervention through transulnar approach: safety and effectiveness.
abstract: The transradial approach is safe and effective for coronary procedures. However, its use may be compromised in cases of variations in radial artery anatomy, spasms, and negative Allen's test. The transulnar approach emerges as a viable alternative to transradial approach. We report on a patient who underwent primary angioplasty via ulnar artery without ischemic hand complications despite prior occlusion of the ipsilateral radial artery.
authors.affiliation: Irmandade da Santa Casa de Misericórdia de Marília, Marília, SP, Brazil. pedroberaldo@gmail.com
authors.forename: Pedro Beraldo de
authors.initials: PB
authors.lastname: Andrade
authors.forename: Marden André
authors.initials: MA
authors.lastname: Tebet
authors.forename: Mônica Vieira Athanazio de
authors.initials: MV
authors.lastname: Andrade
authors.forename: André
authors.initials: A
authors.lastname: Labrunie
authors.forename: Luiz Alberto Piva e
authors.initials: LA
authors.lastname: Mattos
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D006225:Hand / Q000098:blood supply; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D017534:Radial Artery / Q000000981:diagnostic imaging; D017535:Ulnar Artery / Q000000981:diagnostic imaging; D014463:Ultrasonography