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Drive-By Radial Artery Re-Entry: Extending Chronic Total Occlusion Techniques to the Peripheral Arteries

Conor Mcquillan1, Mohaned Egred1,2

  • 1Cardiac Department, Freeman Hospital, Newcastle Upon Tyne, United Kingdom.

JACC. Case Reports
|July 28, 2021
PubMed

Insights

Hybrid coronary chronic total occlusion techniques were adapted for peripheral interventions. This case study details successful radial artery recanalization and subsequent coronary artery revascularization.

Area of Science:

  • Cardiovascular Interventions
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Hybrid techniques for coronary chronic total occlusion (CTO) percutaneous coronary intervention (PCI) are established.
  • Limited translation of these advanced CTO techniques to peripheral arterial interventions has been observed.

Observation:

  • A case involving a patient with a complex peripheral arterial lesion is presented.
  • The radial artery was occluded, dissected, and successfully re-entered using CTO techniques.

Findings:

  • The described hybrid CTO approach enabled successful recanalization of the occluded radial artery.
  • Following peripheral revascularization, the coronary artery was successfully treated.

Implications:

  • This case demonstrates the potential applicability of coronary CTO techniques in complex peripheral interventions.
  • Adapting these advanced techniques may expand treatment options for challenging peripheral artery disease cases.

Keywords:
CTO, chronic total occlusionPCI, percutaneous coronary interventiondissectionmyocardial ischemiapercutaneous coronary intervention

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