Percutaneous transluminal laser guide wire recanalization of chronic subclavian artery occlusion in symptomatic coronary-subclavian steal syndrome.

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 laser guide wire angioplasty with adjunctive stent placement in a combined radial and femoral approach.

• Authors: H Eggebrecht, C K Naber, O Oldenburg, J Herrmann, M Haude, R Erbel, D Baumgart
• Journal: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (Catheter Cardiovasc Interv) Vol. 51 Issue 4 Pg. 500-4 (Dec 2000) ISSN: 1522-1946 [Print] United States
• PMID: 11108691 (Publication Type: Case Reports, Journal Article)

Topics

• Angioplasty, Balloon, Laser-Assisted
• Chronic Disease
• Coronary Angiography
• Coronary Disease (therapy)
• Femoral Artery
• Humans
• Internal Mammary-Coronary Artery Anastomosis
• Male
• Middle Aged
• Radial Artery
• Stents
• Subclavian Steal Syndrome (therapy)