Safety and Efficacy of Transbrachial Access for Coronary Procedures: Case Report and Review of Literature

Abstract

Trans radial approach (TRA) has gained popularity over the trans femoral access (TFA) and has become the default option for coronary procedures around the world, as it has less bleeding access site complications and it is associated with a lower degree of adverse clinical events rate. However, in some situations, the trans radial arterial access could be unsuccessful. We present a case of a 66 years old man with history of aortobifemoral bypass surgery admitted in our department for an ACS and neither TFA nor TRA access were possible.