Subscribe to RSS
Balloon-Assisted Tracking: A Solution to Severe Subclavian Tortuosity Encountered During Transradial Primary PCI
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.
- 1 Bertrand OF, Bélisle P, Joyal D , et al. Comparison of transradial and femoral approaches for percutaneous coronary interventions: a systematic review and hierarchical Bayesian meta-analysis. Am Heart J 2012; 163 (4) 632-648
- 2 Kedev S, Kalpak O, Dharma S , et al. Complete transitioning to the radial approach for primary percutaneous coronary intervention: a real-world single-center registry of 1808 consecutive patients with acute ST-elevation myocardial infarction. J Invasive Cardiol 2014; 26 (9) 475-482
- 3 Norgaz T, Gorgulu S, Dagdelen S. Arterial anatomic variations and its influence on transradial coronary procedural outcome. J Interv Cardiol 2012; 25 (4) 418-424
- 4 Patel T, Shah S, Pancholy S, Rao S, Bertrand OF, Kwan T. Balloon-assisted tracking: a must-know technique to overcome difficult anatomy during transradial approach. Catheter Cardiovasc Interv 2014; 83 (2) 211-220
- 5 Deora S, Shah S, Patel T. Balloon-assisted tracking in dealing with radial artery loop by transradial approach: a technical report. J Invasive Cardiol 2014; 26 (5) E61-E62
- 6 Deora S, Shah S, Patel T. Balloon-assisted tracking of guide catheter dealing with radial artery perforation and subclavian loop during percutaneous coronary intervention by transradial approach. Int J Cardiol 2013; 167 (6) e161-e162
- 7 Oderich GS, Mendes BC, Kanamori KS. Technique of implantation and bail-out maneuvers for endovascular fenestrated repair of juxtarenal aortic aneurysms. Perspect Vasc Surg Endovasc Ther 2013; 25 (1-2) 28-37
- 8 Cola C, Miranda F, Vaquerizo B, Fantuzzi A, Bruguera J. The Guideliner™ catheter for stent delivery in difficult cases: tips and tricks. J Interv Cardiol 2011; 24 (5) 450-461