Coronary stent implantation using the conventional percutaneous transfemoral approach is associated with a high rate of femoral vascular entry site complications due to intense anticoagulation needed to prevent thrombosis. Percutaneous transradial approach is effective in reducing the bleeding complications and offers an alternative vascular access site in patients when the transfemoral approach cannot be used. We implanted a Palmaz-Schatz stent to the proximal left anterior descending artery lesion using the transradial approach to a patient whose both iliac arteries had excessive tortuoisty. During the procedure we used 7500 Units of heparin. There were no complications related to the procedure and no subacute occlusion at one month follow-up, in our patient. Our case is the first transradial coronary stent implantion in Turkey.
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