Ramachandra Barik

Conflicts of Interest The authors declare no conflicts of interest. Data Availability Statement The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions. Supporting Information Filename Description ccd70368-sup-0001-4_1_Video_1.mp41.8 MB Video S1: Selective right radial angiography showing complete occlusion of the right axillary artery.

Conclusion Medina 0.0.1 lesions, though rare, pose distinct challenges such as main vessel injury, protrusion, and ostial miss. Treatment strategies must be tailored to each patient’s clinical presentation, with patient selection for invasive procedures prioritized over revascularization strategy. Preparing the lesion properly is crucial and early planning for debulking using intravascular imaging is recommended.