Renal Denervation via Left Transradial Artery Approach to Circumvent Infrarenal Aortic Tortuosity.

Infrarenal aortic pathology can complicate the approach to renal denervation using currently approved transfemoral systems. We describe a case of infrarenal aortic tortuosity precluding stable engagement of the right renal artery. Based on the patient's height and the treatment catheter's length, we successfully converted to a left transradial approach to complete the procedure without complication.