Introduction
Vascular access for percutaneous coronary intervention (PCI) is gained via a peripheral artery, mainly the radial or femoral artery. Other less frequently used access sites include the brachial and ulnar artery (1). In this article, we present a patient in which conventional arterial access sites where inaccessible due to severe peripheral artery disease, and where access was obtained at the left carotid artery for PCI of the left anterior descending coronary artery (LAD).