Subclavian artery intervention with vertebral embolic protection

Tesfaldet T. Michael; Subhash Banerjee; Emmanouil Brilakis

doi:10.1002/ccd.21959

Subclavian artery intervention with vertebral embolic protection

Tesfaldet T. Michael, Subhash Banerjee, Emmanouil Brilakis

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Knowing the location of the vertebral and the internal mammary artery ostia is crucial during proximal subclavian artery percutaneous intervention to prevent inadvertent injury to either artery. We report a case of severe proximal left subclavian artery stenosis in a patient with a three-vessel disease referred to coronary artery bypass graft surgery. Retrograde angiography via left radial access allowed visualization of the left internal mammary artery and the left vertebral artery ostia and placement of a Filterwire in the left vertebral artery. The proximal left subclavian artery was successfully stented without complications. Debris was retrieved in the Filterwire.

Original language	English (US)
Pages (from-to)	22-25
Number of pages	4
Journal	Catheterization and Cardiovascular Interventions
Volume	74
Issue number	1
DOIs	https://doi.org/10.1002/ccd.21959
State	Published - Jul 1 2009

Keywords

Angioplasty
Cerebral protection
Coronary steal
Stenting
Subclavian stenosis

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1002/ccd.21959

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AB - Knowing the location of the vertebral and the internal mammary artery ostia is crucial during proximal subclavian artery percutaneous intervention to prevent inadvertent injury to either artery. We report a case of severe proximal left subclavian artery stenosis in a patient with a three-vessel disease referred to coronary artery bypass graft surgery. Retrograde angiography via left radial access allowed visualization of the left internal mammary artery and the left vertebral artery ostia and placement of a Filterwire in the left vertebral artery. The proximal left subclavian artery was successfully stented without complications. Debris was retrieved in the Filterwire.

KW - Angioplasty

KW - Cerebral protection

KW - Coronary steal

KW - Stenting

KW - Subclavian stenosis

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Subclavian artery intervention with vertebral embolic protection

Abstract

Keywords

ASJC Scopus subject areas

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