Use of subclavian steal in treating chronic total subclavian artery occlusion. (October 2013)

• Record Type: Journal Article
• Authors: Goel, Pravin K; Moorthy, Nagaraja
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 21:Number 5(2013)
• Page Start: 599
• Page End: 601
• Publication Date: 2013-10
• Subjects: Angioplasty -- arterial occlusive diseases -- stents -- subclavian artery -- subclavian steal syndrome; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492312458913
• Languages: English
• ISSNs: 0218-4923

Abstract

Endovascular treatment is a well-established option for subclavian artery stenosis. However, total occlusion of the proximal subclavian artery remains a challenge, posing difficulties of nonvisualization of distal vessels, access site issues, and deployment of vertebral embolism protection devices. A 65-year-old man with chronic total occlusion of the ostial left subclavian artery, underwent successful endovascular stenting in which the subclavian steal phenomenon was utilized as a roadmap to cross the occlusion.