Abstract
Treatment of subclavian artery stenosis by percutaneous balloon angioplasty and adjunctive stent placement was shown to be safe and efficacious, but it may be limited in tight stenoses and long occlusions. We describe the case of a patient who experienced progressive angina pectoris associated with signs of cerebrovertebral insufficiency 9 yr after bypass surgery, including left internal mammary artery (LIMA) grafting to the left anterior descending coronary artery. Angiography showed reversed flow through the LIMA graft into the subclavian artery and a 4-cm occlusion beginning at the origin of the left subclavian artery, representing a rare coronary-subclavian steal syndrome. After a conventional approach failed, recanalization was performed successfully using aser guide wire angioplasty with adjunctive stent placement in a combined radial and femoral approach. (C) 2000 Wiley-Liss, Inc.
Original language | English (US) |
---|---|
Pages (from-to) | 500-504 |
Number of pages | 5 |
Journal | Catheterization and Cardiovascular Interventions |
Volume | 51 |
Issue number | 4 |
DOIs | |
State | Published - 2000 |
Keywords
- Angina
- Laser wire
- Recanalization
- Steal syndrome
- Stent placement
- Subclavian occlusion
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine