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Complex Coronary Intervention Via Right Distal TRA With Lusoria Subclavian Artery Under Refractory Electrical Storm

01/01/2021

Video Supplement to “Complex Coronary Intervention Via Right Distal Transradial Access With Lusoria Subclavian Artery Under Refractory Electrical Storm: A Really Challenging Case,” by Bhasin et al (January 2021 Clinical Images).

The adoption of distal transradial access (TRA) as default approach for coronary angiography and interventions was recently published. As a refinement of conventional (proximal) TRA, this technique has advantages in terms of patient and operator comfort and risk of radial artery occlusion. We report herein a very challenging case of coronary angiography followed by complex percutaneous coronary intervention via right distal TRA, with aberrant (lusoria) subclavian artery, in the setting of non-ST segment elevation acute myocardial infarction complicated by refractory electrical storm. The following video demonstrates the electrocardiographic changes noted immediately after the patient laid on the table in the catheterization lab.


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