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Bilateral Percutaneous Ulnar Artery Approach for Anterograde Chronic Total Occlusion Intervention

Mihajlo Kovačić

Trans-Radial Vascular Access (TRA) for coronary angiography and interventional procedures has grown in popularity, and it is shown to be a safe and effective technique with a success rate comparable to that of the transfemoral approach with less access site complications. Trans-Ulnar Access (TUA) can serve as an alternative approach whenever the risk of TRA failure or complications is expected to be high. There is limited data on the efficacy and safety of the trans-ulnar approach for Chronic Total Occlusion (CTO) Percutaneous Coronary Intervention (PCI). In this case report, a patient who underwent coronary intervention for CTO of the Right Coronary Artery (RCA) using the anterograde technique via the bilateral ulnar approach is presented.