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Case Report

Distal radial artery access among cases with radial artery occlusion for primary percutaneous intervention

    Hassan Alkhawam

    *Author for correspondence: Tel.: +1 314 577 8877;

    E-mail Address: hassan.alkhawam@health.slu.edu

    Center for Comprehensive Cardiovascular care, St Louis University, St Louis, MO 63110, USA

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    ,
    Stephanie Windish

    Center for Comprehensive Cardiovascular care, St Louis University, St Louis, MO 63110, USA

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    &
    Elsayed Abo-Salem

    Center for Comprehensive Cardiovascular care, St Louis University, St Louis, MO 63110, USA

    Search for more papers by this author

    Published Online:31 May 2019https://doi.org/10.2217/fca-2018-0057

    Abstract

    Radial artery access is associated with lower bleeding risks and higher patient satisfactions compared with femoral access. It is currently the preferred access for coronary catheterization and interventions, and increasingly used for peripheral and cranial vascular interventions. Herein, we present a patient who had a recent procedures included right transradial right vertebral artery and peripheral vascular interventions. She was admitted for abdominal aortic bifemoral artery bypass, and was complicated with ST elevation myocardial infarction that required immediate cardiac catheterization. Patient did not have palpable radial access and ultrasonography confirmed a total occlusion of right radial artery with thrombus. Although distal right radial artery – at the anatomical snuff box – was not palpable, artery was patent and could be accessed successfully with ultrasonography guidance.

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