69 yo smoker presents with dusky painful fingertips on the right hand and diminished radial and brachial pulses. Doppler revealed Monophasic waveforms throughout the right arm with elevated velocities in the right brachial artery. Angiography was performed.
Would you have used embolic protection? If so, what device and why? Is there anything else you would have done differently? Please feel free to leave comments and questions below.
Case CreditsImages and content graciously provided by:
Jason Himmel, MD