title: Retrograde subintimal recanalization of a radial artery occlusion after coronary angiography using the palmar loop technique.
abstract: We report interventional management of critical hand ischemia after transradial coronary angiography. The radial artery occlusion was confirmed by Doppler ultrasound and digital subtraction angiography. The radial artery was opened using retrograde recanalization technics through the palmar arch. After guidewire passage the proximal occlusion site was stented with balloon expandable drug eluting stent, and the distal segment underwent balloon angioplasty. The report discusses the potential risks and advantages of angioplasty in the treatment of a symptomatic radial artery occlusion and the retrograde recanalization technique via the palmar arch.
authors.affiliation: Semmelweis University, Cardiac and Vascular Center, Hungary; Bács-Kiskun County Hospital, Invasive Cardiology Department, Teaching Hospital of the Szent-Györgyi Albert Medical University, Kecskemét, Hungary. Electronic address: zruzsa25@gmail.com.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Ruzsa
authors.affiliation: Bács-Kiskun County Hospital, Invasive Cardiology Department, Teaching Hospital of the Szent-Györgyi Albert Medical University, Kecskemét, Hungary. Electronic address: nandikov@gmail.com.
authors.forename: Nándor
authors.initials: N
authors.lastname: Kovács
authors.affiliation: Semmelweis University, Cardiac and Vascular Center, Hungary. Electronic address: merkely.bela@kardio.sote.hu.
authors.forename: Béla
authors.initials: B
authors.lastname: Merkely
mesh_terms: D000328:Adult; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods; D054855:Drug-Eluting Stents; D005260:Female; D006801:Humans; D017534:Radial Artery / Q000503:physiopathology / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: Critical hand ischemia; Radial approach; Radial artery occlusion