Muhammad Usman Shah, Krishna Poudyal, Ramy Goubran, Adnan Ahmed, Syed Yaseen Naqvi
Background
Radial artery is the preferred route of access for percutaneous coronary intervention (PCI) as the femoral artery is associated with a greater incidence of bleeding complications.1–5 Often such complications require open surgical repair.4,6 However, percutaneous treatment with covered stents may represent an alternate option.
Case presentation
A man in his 50s, fit and well and on no routine medications, developed chest pain and posterior ST-elevation myocardial infarction (STEMI) with 2 mm ST-elevation in posterior leads V7, 8 and 9, and 2 mm ST-depression in leads V2 and 3, complicated by cardiogenic shock and out-of-hospital c
