Transradial Access for Radial-to-Peripheral Revascularization in Acute Limb Ischemia.

A 60-year-old woman with a history of peripheral artery disease and chronic kidney disease presented with Rutherford Class IIa acute limb ischemia of the right lower extremity. Transradial approach angiography revealed a 100% thrombotic occlusion of the superficial femoral artery. Successful lesion crossing, thrombectomy, and drug-coated balloon angioplasty were performed with restoration of TIMI flow grade 3 in a single session.