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


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.

Read the accompanying article here