title: [Difficulties in the percutaneous approach of the acute coronary syndrome with associated axillobifemoral bypass].
abstract: BACKGROUND
  Peripheral arterial disease and coronary artery disease are frequently associated. The percutaneous approach may sometimes involve additional difficulties to the coronary artery disease.
  
  
  METHODS
  The case is presented on an 82 year-old male patient with multiple cardiovascular risk factors, a Leriche syndrome and axillobifemoral bypass, who was admitted to hospital due to an inferior myocardial infarction. The procedure approach (radial, brachial, or femoral access routes for percutaneous coronary treatment) and associated complications from the procedure are discussed.
  
  
  CONCLUSIONS
  Although technical improvements and/or treatment of peripheral vascular lesions may allow percutaneous coronary intervention, individual risk and benefit in each patient must be assessed.
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario Insular-Materno Infantil, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España. Electronic address: efrencardio@gmail.com.
authors.forename: Efrén
authors.initials: E
authors.lastname: Martínez-Quintana
authors.affiliation: Servicio de Oftalmología, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, España.
authors.forename: Fayna
authors.initials: F
authors.lastname: Rodríguez-González
mesh_terms: D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D000369:Aged, 80 and over; D001366:Axillary Artery / Q000601:surgery*; D001916:Brachial Artery; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000601:surgery; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007925:Leriche Syndrome / Q000601:surgery*; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D017534:Radial Artery
keywords: Acute coronary syndrome; Aortoiliac obliteration; Arteriopatía periférica; Obliteración aorto-ilíaca; Peripheral artery disease; Síndrome coronario agudo