Abstract
Performing percutaneous coronary intervention in the presence of previous femoral arterial grafts can be difficult. A 68-year-old man who had been resuscitated from cardiac arrest was admitted to our hospital with an electrocardiogram showing acute myocardial infarction. An ultrasound-guided puncture of the femoral artery was performed due to the absence of radial/ulnar and brachial pulses. The wire was advanced through an axillobifemoral bypass. The patient was successfully treated using a combination of long catheters, extension catheters, and high-support wires.
