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Restenosis following subclavian artery angioplasty for treatment of coronary-subclavian steal syndrome: definitive treatment with Palmaz-stent placement.

Abstract
We report a case of progressive angina pectoris 4 years post coronary bypass surgery, in which the left internal mammary artery (LIMA) was grafted to the native left anterior descending coronary artery. The coronary-subclavian steal phenomenon was proven angiographically with retrograde reflux through the LIMA graft into the distal subclavian vessel, downstream from a critical stenosis at the origin of the subclavian artery. After initially successful angioplasty of the ostial subclavian lesion, restenosis and return of angina prompted repeat dilatation and placement of a Palmaz 154-M stent. Follow-up catheterization has demonstrated persistent patency at the stented site and absence of coronary steal.
AuthorsS I Mufti, K R Young, T Schulthesis
JournalCatheterization and cardiovascular diagnosis (Cathet Cardiovasc Diagn) Vol. 33 Issue 2 Pg. 172-4 (Oct 1994) ISSN: 0098-6569 [Print] United States
PMID7834733 (Publication Type: Case Reports, Journal Article)
Topics
  • Angina Pectoris (therapy)
  • Angioplasty, Balloon, Coronary
  • Constriction, Pathologic
  • Coronary Disease
  • Female
  • Humans
  • Middle Aged
  • Postoperative Complications
  • Recurrence
  • Stents
  • Subclavian Artery
  • Subclavian Steal Syndrome (therapy)
  • Treatment Failure
  • Vascular Patency

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