Subclavian artery intervention with vertebral embolic protection

Tesfaldet T. Michael, Subhash Banerjee, Emmanouil Brilakis

Research output: Contribution to journalArticle

8 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 languageEnglish (US)
Pages (from-to)22-25
Number of pages4
JournalCatheterization and Cardiovascular Interventions
Volume74
Issue number1
DOIs
StatePublished - 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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