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CASE REPORT
Year : 2021  |  Volume : 22  |  Issue : 2  |  Page : 146-149

Unprotected left main primary PCI via distal transradial access in the setting of STEMI-related cardiogenic shock


1 Department of Interventional Cardiology, Hospital Regional do Vale do Paraíba, Taubaté; Department of Interventional Cardiology, Escola Paulista de Medicina, Hospital São Paulo, Universidade Federal de São Paulo, São Paulo, Brazil
2 Department of Interventional Cardiology, Hospital Regional do Vale do Paraíba, Taubaté, São Paulo, Brazil
3 Department of Interventional Cardiology, Escola Paulista de Medicina, Hospital São Paulo, Universidade Federal de São Paulo, São Paulo, Brazil

Correspondence Address:
Dr. Marcos Danillo Peixoto Oliveira
Napoleão de Barros, nº 715 - Vila Clementino, Sao Paulo
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_185_20

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Despite all well-known benefits of transradial access, patients presenting with cardiogenic shock are usually submitted to coronary angiography and percutaneous coronary intervention via traditional transfemoral access, mainly due to challenge puncture of radial artery in the setting of hemodynamic instability. We report a challenging case of STEMI-related cardiogenic shock requiring primary PCI of an occluded and unprotected left main, safety, and successfully performed via right distal trans radial access in the anatomical snuffbox.


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