First Report of Hybrid Brachial Artery Access Enabling Complex Coronary Intervention.
Adrien Jossart, Gregory A Sgueglia, Giuseppe Colletti et al.
✦ AI-curated · Sources linked
Case in brief
A patient with Leriche syndrome and complete occlusion of both forearm and iliofemoral arteries required percutaneous coronary intervention (PCI) for complete revascularization. Surgical exposure of the brachial artery provided stable access for a 7 Fr catheter, enabling successful multivessel and left main bifurcation PCI. Vascular surgeons played a crucial role in ensuring precise arterial exposure and secure closure.
What made this case unusual
This case highlights the use of hybrid brachial artery access for PCI in a patient with extreme peripheral arterial disease, a rarely reported approach when conventional access sites are unavailable.
Diagnostic / clinical pearl
Clinicians should consider hybrid brachial artery access as a viable option for PCI in patients with limited access due to severe peripheral arterial disease.
Why it matters
This case underscores the importance of vascular-interventional collaboration in managing complex cases where traditional access routes are compromised.