Antegrade transseptal coronary angiography: an alternative technique in severe vascular disease

Area of Science:

• Cardiovascular medicine
• Interventional cardiology
• Vascular surgery

Background:

• Severe aortoiliac and axillary vascular disease can preclude standard retrograde access to the aortic root.
• Transseptal access offers an alternative route for cardiac interventions when conventional methods fail.

Observation:

• A patient with extensive vascular disease presented with inability to achieve retrograde access to the aortic root.
• Standard catheters were utilized for antegrade coronary angiography via a transseptal approach.

Findings:

• Successful antegrade coronary angiography was achieved using a transseptal approach.
• Technical challenges were encountered during the procedure, necessitating careful catheter manipulation.

Implications:

• The transseptal approach is a viable alternative for coronary angiography in patients with complex vascular disease.
• This technique expands interventional options for challenging patient populations.
• Further research may optimize transseptal techniques for complex coronary angiography.