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Address for correspondence: Dr. Yavuzer Koza, Atatürk Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı, Yakutiye 25100, Erzurum-Türkiye Phone: +90 442 231 85 21 Fax: +90 442 236 13 01 E-mail: yavuzerkoza@hotmail.com Accepted Date: 27.09.2016 ©Copyright 2016 by Turkish Society of Cardiology Available online at www.anatoljcardiol.com DOI:10.14744/AnatolJCardiol.2016.7500 Answer: p. 994 A 44-year-old man presented to our hospital with intermittent claudication at a distance of 200–250 m. He had undergone percutaneous coronary intervention for unstable angina through the right femoral artery access 5 months ago. Physical examination was remarkable for a reduced right femoral pulse. Popliteal and pedal pulses were normal. On the basis of these findings, a diagnostic peripheral arteriography was planned. After the femoral sheath was placed, a control arteriography was performed to visualize the access site (Video 1). Because several attempts to advance a 0.035-inch guidewire failed, a 0.018-inch floopy guidewire was advanced to guide the catheter insertion. The angiogram showed severe occlusion of the right common femoral artery (CFA) involving the right common iliac artery (CIA) (Fig. 1, Video 2).

A challenging case of occlusion of the right femoral and right common iliac arteries: diagnostic intervention does not always innocent