Bilateral trans-radial approach in stenting of occluded right axillary artery

Area of Science:

• Cardiovascular Medicine
• Interventional Cardiology
• Vascular Surgery

Background:

• Percutaneous endovascular interventions are advancing for treating axillary artery lesions.
• These interventions may offer advantages over surgical repair, including reduced complications, mortality, and hospital stay.

Observation:

• A case of axillary artery chronic total occlusion (CTO) in a Caucasian female was reported.
• The CTO had a dual etiology, stemming from both atherosclerotic disease and prior radiation therapy.

Findings:

• Successful management of the complex axillary artery CTO was achieved using stent angioplasty.
• A right radial retrograde approach combined with contralateral injections from a left radial catheter was employed.
• Two-year follow-up confirmed widely patent axillary stents, indicating sustained treatment success.

Implications:

• Stent angioplasty presents a viable and effective alternative to surgery for axillary artery CTO.
• This minimally invasive approach demonstrates promising long-term patency for complex cases.
• Further research into endovascular techniques for axillary artery disease is warranted.