title: Radial access for concomitant coronary, subclavian and renal artery angioplasty: one case report.
abstract: 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.
authors.affiliation: Service des Explorations Fonctionnelles et de Réanimation Cardiologiques, Hôpital la Rabta, Tunis, Tunisie.
authors.forename: Salem
authors.initials: S
authors.lastname: Abdessalem
authors.forename: Sajed
authors.initials: S
authors.lastname: Mjadlah
authors.forename: Sami
authors.initials: S
authors.lastname: Mourali
authors.forename: Rachid
authors.initials: R
authors.lastname: Mechemeche
mesh_terms: 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