Primary percutaneous coronary intervention through transulnar approach: safety and effectiveness.
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.
Andrade
Pedro Beraldo de
PB
Irmandade da Santa Casa de Misericórdia de Marília, Marília, SP, Brazil. pedroberaldo@gmail.com
Tebet
Marden André
MA
Andrade
Mônica Vieira Athanazio de
MV
Labrunie
André
A
Mattos
Luiz Alberto Piva e
LA
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