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Interosseous artery as an access artery in case of late radial artery occlusion
Authors:Avtandil M. Babunashvili MD  PhD  Samir B. Pancholy MD  PhD
Affiliation:1. Department of Cardiovascular Surgery, Center for Endosurgery and Lithotripsy, Moscow, Russian Federation;2. The Commonwealth Medical College, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania
Abstract:We report a new technique of arterial access through the ipsilateral interosseous artery in a case of late radial artery occlusion (RAO). RAO, although not frequent, is a limiting iatrogenic complication after transradial intervention (TRI) and precludes repeat use of the same radial artery for future procedures. Our technique involves obtaining access to the ipsilateral radial artery (RA) in the distal postocclusion segment and use of collateral channel between this segment and the interosseous artery (IOA) for advancing a guidewire and sheath in the IOA lumen and in brachial artery thereafter. © 2017 Wiley Periodicals, Inc.
Keywords:transradial coronary intervention  late radial artery occlusion  forearm interosseous artery
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