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Case Reports
. 2020 Dec 27;5(2):ytaa520.
doi: 10.1093/ehjcr/ytaa520. eCollection 2021 Feb.

Superficial temporal artery access for percutaneous coronary artery stenting during the COVID-19 pandemic: a case report

Ádám Csavajda, Olivier F Bertrand  1 , Béla Merkely  2 , Zoltán Ruzsa  3
Affiliations
Case Reports

Superficial temporal artery access for percutaneous coronary artery stenting during the COVID-19 pandemic: a case report

Ádám Csavajda et al. Eur Heart J Case Rep. .

Abstract

Background: The COVID-19 pandemic creates new challenges for healthcare, including invasive cardiology.

Case summary: We discuss the case of a 65-year-old man who presented with non-ST segment elevation myocardial infarction combined with bilateral pneumonia. The patient had known severe iliac artery lesions with prior interventions and bilateral subclavian artery occlusions. After unsuccessful femoral artery access, the diagnostic angiography and the right coronary artery percutaneous coronary intervention were successfully performed from ultrasound-guided lower superficial temporal artery access.

Discussion: We showed that superficial temporal access can be used as an alternate access site for diagnostic coronary angiography and intervention when standard wrist and femoral access sites are not readily accessible.

Keywords: COVID-19 pandemic; Case report; Coronary angioplasty; Superficial temporal artery access.

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Figures

Figure 1
Figure 1
Schematic picture of the superficial temporal artery anatomy and sheath insertion (A). Selective angiography in the lower part of the superficial temporal artery (B). Post-procedural picture of the lower superficial temporal artery puncture site and draping (C). Left coronary angiography performed from left superficial temporal artery access shows left anterior descendent chronic total occlusion (D). Right coronary artery significant lesion before (E) and after stent implantation through 5-Fr guiding system (F).
Figure 2
Figure 2
Initial electrocardiogram—sinus rhythm, heart rate: 116 b.p.m., normal QRS axis, PQ: 200 ms, QRS: 80 ms, discrete ST depression across the inferior leads, J-point elevation across the anterior leads, 1-1 isolated ventricular extrasystoles.
None
See this image and copyright information in PMC

References

    1. Ewig S, Torres A.. Community-acquired pneumonia as an emergency: time for an aggressive intervention to lower mortality. Eur Respir J 2011;38:253–260. - PubMed
    1. Ivancev K, Resch T, Malina M.. Novel access technique facilitating carotid artery stenting. Vascular 2006;14:219–222. - PubMed
    1. Syed MI, Sinnathamby S, Shaikh A, Tyrrell R, Neravetla S, Morar K.. Percutaneous superficial temporal artery access for carotid artery stenting in patients with a hostile aortic arch. J Endovasc Ther 2011;18:729–733. - PubMed
    1. Pinar YA, Govsa F.. Anatomy of the superficial temporal artery and its branches: its importance for surgery. Surg Radiol Anat 2006;28:248–253. - PubMed
    1. Nardai S, Végh E, Óriás V, Nemes B, Tóth J, Hüttl A. et al. Feasibility of distal radial access for carotid interventions: the RADCAR-DISTAL pilot study. EuroIntervention 2020;15:1288–1290. - PubMed

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