Distal Embolization During Percutaneous Subclavian Artery Intervention. (April 2016)

• Record Type: Journal Article
• Authors: Alkhouli, Mohamad; Porter, John; Waits, Bryan; Ling, Frederick S.; Narins, Craig R.
• Is Part Of: Vascular & endovascular surgery. Volume 50:Number 3(2016)
• Page Start: 175
• Page End: 179
• Publication Date: 2016-04
• Subjects: subclavian stenosis -- distal embolization -- endovascular treatment; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574416638758
• Languages: English
• ISSNs: 1538-5744

Abstract

Distal embolization due to atherothrombotic debris during subclavian artery interventions is extremely rare and can usually be managed conservatively. Herein, we describe a case of acute hand ischemia due to massive distal embolization during balloon angioplasty and stenting of a left subclavian artery chronic total occlusion. This limb-threatening complication was effectively treated with rescue surgical thrombectomy.