| CASE REPORT |
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| Year : 2021 | Volume
: 22
| Issue : 2 | Page : 150-153 |
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Chronic total occlusion recanalization concurrent to culprit primary percutaneous coronary intervention via distal transradial access: Maximizing revascularization through minimalist approach
Marcos Danillo Peixoto Oliveira1, Ednelson Cunha Navarro2, Glenda Alves de Sá2, Alen Cleber Monteiro2, Adriano Caixeta3
1 Department of Interventional Cardiology, Hospital Regional do Vale do Paraíba; Department of Interventional Cardiology, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil
2 Department of Interventional Cardiology, Hospital Regional do Vale do Paraíba, São Paulo, Brazil
3 Department of Interventional Cardiology, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil
Correspondence Address:
Dr. Adriano Caixeta
Street: Napoleão de Barros, nº 715 - Vila Clementino, Sao Paulo 04024-002
Brazil
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_209_20
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For ST-segment elevation myocardial infarction (STEMI) patients with multi-vessel coronary disease, complete revascularization is superior to culprit-only percutaneous coronary intervention (PCI). Chronic total occlusion represents the most challenging setting for PCI. Distal transradial access (dTRA) has advantages such as faster hemostasis and risk of proximal radial artery occlusion. We report a case of nonculprit coronary total occlusion recanalization concurrent to culprit primary PCI via dTRA in the setting of STEMI.
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