Int J Angiol 2016; 25(02): 134-136
DOI: 10.1055/s-0035-1552981
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Balloon-Assisted Tracking: A Solution to Severe Subclavian Tortuosity Encountered During Transradial Primary PCI

Surya Dharma
1   Department of Cardiology and Vascular Medicine, University of Indonesia, National Cardiovascular Center, Harapan Kita, Jakarta, Indonesia
Ian C. Gilchrist
2   Department of Cardiology, Pennsylvania State University College of Medicine, Penn State Heart and Vascular Institute, Hershey, Pennsylvania
Tejas Patel
3   Department of Cardiovascular Sciences, Apex Heart Institute, Ahmedabad, Gujarat, India
› Author Affiliations
Further Information

Publication History

Publication Date:
25 May 2015 (online)


Radial artery access is preferred over femoral access for primary percutaneous coronary intervention (PCI) in patients with acute ST-segment elevation myocardial infarction because of the reduction in access site complications and mortality associated with the radial artery access. Successful transradial primary PCI requires knowledge of techniques to handle unexpected severe subclavian artery tortuosity. Balloon-assisted tracking (BAT) is one technique developed to negotiate the tortuosity and loops in the upper extremity. However, the use of BAT in dealing with a severe subclavian loop during a transradial primary PCI procedure has never been reported. We described a case of transradial primary PCI with severe subclavian artery loop that was negotiated successfully by the BAT technique.


There is no external funding and this report has no relationship with any industrial company.