Angioplasty of a totally occluded brachial artery using kissing guide wire technique by transradial approach

The subacute or chronic upper limb ischaemia is mostly non-atheromatous, especially in the young and is of multiple aetiology. Subclavian artery is affected the most and is treated by angioplasty. Brachial artery is least affected, therefore the least is the experience to treat it. At present, intervention of upper limb vessels distal to axillary artery is taken as duplication of intervention technique used for coronary or lower Limb. This case report describes a 28-year-young man who underwent successful angioplasty and stenting of a subacute totally occluded brachial artery of 2 weeks duration possibly of post-traumatic aetiology. Kissing guide wire technique via transradial approach was used in this case, the first experience in upper limb ischaemia management distal to axillary artery.