Navigation of a Dormant AV Fistula for PCI in a Patient With High-Risk NSTEMI

Abstract

Arteriovenous (AV) fistulae for hemodialysis in patients with end-stage renal disease usually prevents ipsilateral transradial access (TRA) for coronary angiography. We present a case of coronary angiography and percutaneous coronary intervention via left TRA with navigation through a dormant AV fistula in a patient with limited vascular access. (Level of Difficulty: Intermediate.)

Keywords

• coronary angiography
• percutaneous coronary intervention
• peripheral vascular disease