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Invasive management of such cases includes either alternate site access or combined peripheral and coronary revascularization. We hereby report a patient of the infrarenal abdominal aorta and bilateral subclavian arterial occlusion, who presented with acute coronary syndrome. To perform the percutaneous coronary intervention, we first performed the endovascular stenting of occluded aortoiliac disease, followed by stenting of the right coronary artery. We had discussed the limitation of arterial access to perform PCI in such a situation.<\/jats:p>","DOI":"10.1177\/1129729820946915","type":"journal-article","created":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T03:37:56Z","timestamp":1621481876000},"page":"946-949","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["How to perform a percutaneous coronary intervention, when no conventional arterial access site is available: A case report"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5250-4735","authenticated-orcid":false,"given":"Rajesh","family":"Vijayvergiya","sequence":"first","affiliation":[{"name":"Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, 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