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Published on: October 20, 2017
Percutaneous revascularization of subclavian artery chronic occlusion with dual cerebral artery protection
Nehal Shah1, Lisa M Nee, Amish N Raval
1Division of Cardiovascular Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53792-3248, USA.
Insights
This study presents a successful minimally invasive treatment for blocked subclavian arteries using coronary devices and cerebral embolic protection, offering a new option for patients.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Background:
- Subclavian artery chronic occlusion (SACO) can cause significant symptoms.
- Surgical bypass is a traditional treatment, but carries risks.
- Percutaneous intervention offers a minimally invasive alternative.
Observation:
- A case of symptomatic SACO was treated using percutaneous methods.
- Coronary devices were adapted for the subclavian artery intervention.
- Dual cerebral embolic protection was employed during the procedure.
Findings:
- Successful revascularization of the chronically occluded subclavian artery was achieved.
- The use of coronary devices proved effective in this complex case.
- Dual cerebral embolic protection mitigated potential stroke complications.
Implications:
- Percutaneous revascularization with adapted coronary devices is a viable option for SACO.
- Cerebral embolic protection strategies enhance the safety of these interventions.
- This approach may expand treatment possibilities for patients with subclavian artery disease.
Abstract:
Percutaneous intervention for symptomatic subclavian artery chronic occlusion is an occasionally performed, minimally invasive alternative to surgical bypass. Potential complications include stroke, perforation, and recanalization failure. We discuss a case of successful percutaneous revascularization of symptomatic subclavian artery chronic occlusion using coronary devices and dual cerebral embolic protection.
