Trans Ulnar Approach for Unprotected Left Main Coronary Artery Disease

Abstract

Significant unprotected left main coronary artery (ULMCA) disease occurs in 5-7% of patients undergoing coronary angiography [1,2] and patients with ULMCA disease treated medically have a three years mortality rate of 50% [3,4]. Advances in percutaneous intervention techniques and stent technology have allowed evolution of the role of percutaneous coronary intervention (PCI) for left main disease. Left main angioplasty is usually preferred through femoral route because of the larger diameter of the vessel and ease of maneuverability. In recent studies radial route has also been used consistently with better results. Left main coronary angioplasty through ulnar artery route is unheard off. In this case report ulnar access has been used to opine that it is also an alternative, safe, feasible and an additive access to femoral route. Case