Dificultades en el abordaje percutáneo del síndrome coronario agudo con bypass axilobifemoral

Abstract

Background: Peripheral arterial disease and coronary artery disease are frequently associated. The percutaneous approach may sometimes involve additional difficulties to the coronary artery disease.Clinical case: The case is presented on an 82 year-old male patient with multiple cardiovascular risk factors, a Leriche syndrome and axillobifemoral bypass, who was admitted to hospital due to an inferior myocardial infarction. The procedure approach (radial, brachial, or femoral accessroutes for percutaneous coronary treatment) and associated complications from the procedureare discussed.Conclusion: Although technical improvements and/or treatment of peripheral vascular lesionsmay allow percutaneous coronary intervention, individual risk and benefit in each patient mustbe assessed. (C) 2015 Academia Mexicana de Cirugia A.C. Published by Masson Doyma Mexico S.A.