Transradial unprotected left main coronary artery stenting in an octogenarian with severe angina and Leriche syndrome

Area of Science:

• Cardiovascular Medicine
• Interventional Cardiology
• Geriatric Cardiology

Background:

• Coronary artery disease (CAD) in octogenarians presents unique challenges due to diffuse nature and comorbidities.
• Peripheral vascular disease (PVD) often complicates management strategies for elderly patients with CAD.
• Leriche syndrome, a severe form of PVD, poses significant risks for interventions.

Observation:

• A case of an octogenarian patient with severe angina and Leriche syndrome is presented.
• The patient had diffuse coronary artery disease, including an unprotected left main coronary artery (ULMCA).
• Standard treatment options were limited due to the patient's complex vascular condition.

Findings:

• Transradial stenting was performed successfully to treat the ULMCA.
• The transradial approach provided a minimally invasive route for intervention in this high-risk patient.
• The procedure resulted in successful revascularization of the ULMCA.

Implications:

• Transradial stenting can be a safe and effective strategy for managing ULMCA disease in octogenarians with severe PVD.
• This case highlights the feasibility of complex coronary interventions via the radial artery in elderly patients with comorbidities.
• The findings suggest expanding the role of transradial interventions in managing complex cardiovascular disease in the geriatric population.