Radial access for concomitant coronary, subclavian and renal artery angioplasty: one case report.
BACKGROUND
Concomitant coronary and peripheral angioplasty is a more frequently reported situation. Patient's outcome is significantly conditioned by access site complications especially in femoral and brachial approaches. The radial artery access is a safe and a well established alternative in coronary interventions and could be suitable for many peripheral angioplasty cases, thanks to devices enhancement.


OBJECTIVE
Report a new case.


METHODS
We report the case of a 56-year-old woman with multivessel coronary artery disease, significant left subclavian (SCA) and bilateral renal arteries stenoses. Because of a severe resistant hypertension and prior to scheduled coronary bypass surgery a triple angioplasty of left renal artery, SCA, and left anterior descending (LAD) was attempted. Stenting of the three sites was successful in the same procedure through the left radial artery route.


CONCLUSIONS
Radial artery access in peripheral, combined and complex percutaneous transluminal angioplasty seems to be suitable and safe. However, prospective clinical trials are still lacking.
Abdessalem
Salem
S
Service des Explorations Fonctionnelles et de Réanimation Cardiologiques, Hôpital la Rabta, Tunis, Tunisie.
Mjadlah
Sajed
S
Mourali
Sami
S
Mechemeche
Rachid
R
D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000628:therapy; D003324:Coronary Artery Disease / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D017534:Radial Artery; D015607:Stents; D013349:Subclavian Steal Syndrome / Q000628:therapy