Angiographic evaluation of a carotid-subclavian bypass graft in a patient with subclavian artery stenosis and left internal mammary artery bypass graft

1994 ◽  
Vol 32 (2) ◽  
pp. 178-181 ◽  
Author(s):  
Alfred C. Rossum ◽  
Eric Weinstein ◽  
Matthew Holland
Keyword(s):  
Subclavian Artery ◽  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Stenosis ◽  
Artery Bypass Graft ◽  
Subclavian Artery Stenosis ◽  
Internal Mammary

Impaired flow in left internal mammary artery grafts due to subclavian artery stenosis

2001 ◽  
Vol 72 (3) ◽  
pp. 917-919 ◽  
Author(s):  
Benno Hennen ◽  
Torsten Markwirth ◽  
Bruno Scheller ◽  
Hans-Joachim Schäfers ◽  
Olaf Wendler
Keyword(s):  
Subclavian Artery ◽  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Artery Stenosis ◽  
Subclavian Artery Stenosis ◽  
Internal Mammary

scholarly journals Stenting for Left Subclavian Artery Stenosis before and after Coronary Artery Bypass Grafting Using the Internal Mammary Artery

2008 ◽  
Vol 14 (2) ◽  
pp. 209-214 ◽  
Author(s):  
I. Chokyu ◽  
T. Terada ◽  
Y. Matsuda ◽  
H. Okumura ◽  
A. Shintani ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Internal Mammary Artery ◽  
Artery Bypass ◽  
Artery Stenosis ◽  
Cardiac Ischemia ◽  
Subclavian Artery Stenosis ◽  
The Third ◽  
Before And After ◽  
Internal Mammary ◽  
Steal Syndrome

Stenosis of the subclavian artery proximal to the origin of the internal mammary artery (IMA) used for coronary artery bypass grafting may produce flow reversal (steal syndrome) and cause myocardial ischemia. We present three cases of subclavian artery stenosis proximal to the IMA before and after CABG. The first case developed symptomatic myocardial ischemia resulting from a variant of coronary-subclavian steal syndrome. The second case had asymptomatic subclavian artery stenosis proximal to the IMA used for CABG. In the third case we planned to perform CABG using the left IMA to treat cardiac ischemia. All of the patients were successfully treated by stent placement without the use of a protection device. In the first and second cases, cardiac ischemia did not appear during balloon inflation of the subclavian artery and no embolic complication occurred. In the third case, CABG was performed six months after stenting. Subclavian artery stenting is a valid alternative to surgical treatment to restore the flow to the IMA before or after CABG.

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