Translumbar coronary arteriography.

Abstract

Selective coronary angiography, using a catheter sheath placed across the lumbar region and into the abdominal aorta, has been performed for a patient with lack of other arterial access due to severe occlusive atherosclerosis in the abdominal aorta and innominate and left subclavian arteries. This approach is quick and facile, but care must be taken to prevent possible bleeding complications.