scholarly journals Stent placement for long-segment total occlusion of an aberrant right subclavian artery: A 7-year follow-up

2020 ◽  
Vol 8 ◽  
pp. 2050313X2095374
Author(s):  
Grace J Burket ◽  
Mashhood Kakroo ◽  
Mark W Burket
Keyword(s):  
Subclavian Artery ◽  
Case Reports ◽  
Percutaneous Treatment ◽  
Artery Occlusion ◽  
Aberrant Right Subclavian Artery ◽  
Total Occlusion ◽  
Percutaneous Therapy ◽  
Subclavian Artery Occlusion ◽  
The Right

An aberrant origin of the right subclavian artery arising as the most distal vessel from the aortic arch is an uncommon but clinically important anomaly. Its abnormal course may result in esophageal compression with dysphagia, or tracheal compression resulting in asthma or stridor, and can greatly complicate radial artery access for coronary angiography. When an aberrant right subclavian artery is obstructed by atherosclerotic plaque, it may produce symptoms of arm ischemia such as pain and weakness. For the past 75 years, the standard treatment approach for symptomatic aberrant right subclavian artery has been surgical correction. There are only three case reports of percutaneous therapy, all for nonocclusive stenosis. There are no reported cases of percutaneous treatment of a completely occluded aberrant right subclavian artery. We report a patient with exertional right arm heaviness and weakness who was found to have a 60-mm long aberrant right subclavian artery occlusion. The blockage was successfully treated with angioplasty and placement of a single stent using percutaneous vascular access. Chest computerized tomography and duplex ultrasonography 5 years after treatment demonstrated a patent stent. At 7-year follow-up, she remained symptom-free and had a normal radial pulse. This case represents the first report of total occlusion of aberrant right subclavian artery treated percutaneously. Long-term durability supports this as a viable alternative to surgery in appropriately selected patients.

Chetham-platinum-covered stent, aortic coarctation, and left subclavian artery: sometimes is there one too many?

2019 ◽  
Vol 29 (10) ◽  
pp. 1302-1304
Author(s):  
Vincenzo Tufaro ◽  
Gianfranco Butera
Keyword(s):  
Subclavian Artery ◽  
Balloon Angioplasty ◽  
Aortic Coarctation ◽  
Left Subclavian Artery ◽  
Percutaneous Treatment ◽  
Artery Occlusion ◽  
Covered Stent ◽  
Stent Deployment ◽  
New Approach ◽  
Subclavian Artery Occlusion

AbstractA new approach was used in the percutaneous treatment of two patients with severe recoarctation involving the origin of the left subclavian artery. A tiny handmade fenestration was created in a NuMED-covered Cheatham-platinum stent before its implantation to avoid left subclavian artery occlusion. The stent placement was performed using a two-guidewire technique in which the different stiffness helped a proper positioning of the stent. After the stent deployment, the fenestration was enlarged performing a balloon angioplasty to improve flow in left subclavian artery.

Intentional Left Subclavian Artery Occlusion by Thoracic Aortic Stent-Grafts without Surgical Transposition

2001 ◽  
Vol 8 (5) ◽  
pp. 472-476 ◽  
Author(s):  
Klaus A. Hausegger ◽  
Peter Oberwalder ◽  
Kurt Tiesenhausen ◽  
Josef Tauss ◽  
Olaf Stanger ◽  
...  
Keyword(s):  
Stent Graft ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Case Reports ◽  
Artery Occlusion ◽  
Left Vertebral Artery ◽  
Stent Grafts ◽  
Subclavian Artery Occlusion ◽  
Limited Experience ◽  
Type B Dissection

Purpose: To report the consequences of endoluminal deployment of stent-grafts in the thoracic aorta with intentional occlusion of the left subclavian artery. Case Reports: Three patients with an aortic type-B dissection and 1 with a thoracic aneurysm were treated endoluminally with Talent stent-grafts implanted over the ostium of the left subclavian artery without prior surgical subclavian-carotid transposition. The primary intimal tears were sealed and the degenerative aneurysm excluded; blood pressure in the left arm was significantly diminished immediately after the stent-graft was released, but adequate collateral retrograde perfusion via the left vertebral artery was apparent in all patients. No neurological deficit and no symptoms of left arm ischemia were observed in a follow-up that ranged from 14 to 20 months. Conclusions: Our limited experience shows that occlusion of the left subclavian artery with a stent-graft is well tolerated. If ischemic symptoms occur, a transposition procedure can be performed on an elective basis.

scholarly journals Subclavian artery occlusion after a clavicle fracture

2019 ◽  
Vol 12 (11) ◽  
pp. e229314
Author(s):  
Diba Demir ◽  
Boudewijn Borger van der Burg ◽  
Guido Stollenwerck ◽  
Rigo Hoencamp
Keyword(s):  
Subclavian Artery ◽  
Surgical Repair ◽  
Full Range ◽  
Clavicle Fracture ◽  
Artery Occlusion ◽  
Left Shoulder ◽  
Subclavian Artery Occlusion ◽  
Old Left ◽  
Fracture Consolidation

A 44-year-old man with a 9-day-old left displaced midshaft clavicle fracture was initially treated conservatively. The patient experienced an increase of pain with tickling and cold sensation in the left upper extremity. CT angiography showed left subclavian artery occlusion over 3 cm at the level of the fracture. At surgical repair, a subclavian-brachial bypass was constructed and fracture fixation was done with an eight-hole locking compression plate. Follow-up at 6 months showed full range of motion of the left shoulder, an open bypass and fracture consolidation.

Axillo-axillary bypass with polytetrafluoroethylene graft for coronary subclavian steal syndrome

Vascular ◽  
2012 ◽  
Vol 20 (4) ◽  
pp. 188-192 ◽  
Author(s):  
Li Po Song ◽  
Jian Zhang
Keyword(s):  
Subclavian Artery ◽  
Artery Occlusion ◽  
Subclavian Steal Syndrome ◽  
Cardiac Complications ◽  
Ptfe Graft ◽  
Subclavian Steal ◽  
Subclavian Artery Occlusion ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

The purpose of this study is to report the results of axillo-axillary bypass (AAB) for coronary subclavian steal syndrome due to proximal subclavian artery occlusion. From 2003 to 2010, AAB using a polytetrafluoroethylene (PTFE) graft was performed in 11 patients with coronary subclavian steal syndrome. There was no perioperative mortality, stroke or cardiac complications. Over a mean follow-up of 36 months (range: 6–81 months), all bypass grafts have remained patent. No patient developed recurrent symptoms of myocardial ischemia. One patient died from hemorrhagic stroke at 31 months. Our results showed that AAB using a PTFE graft provides an effective and durable treatment option for coronary subclavian steal syndrome when attempted endovascular therapy of the occluded proximal subclavian artery is unsuccessful.

Anomalous right coronary artery from the pulmonary artery (ARCAPA), and aberrant right subclavian artery in a 2-month infant with heart failure

2013 ◽  
Vol 24 (5) ◽  
pp. 935-937 ◽  
Author(s):  
Mohammad Mahdavi ◽  
Koorosh Vahidshahi ◽  
Ramin Baghai Tehrani ◽  
Hamidreza Poor Ali-Akbar ◽  
Mohammad Rad Godarzi
Keyword(s):  
Heart Failure ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Subclavian Artery ◽  
Right Coronary Artery ◽  
Male Infant ◽  
Aberrant Right Subclavian Artery ◽  
Infancy And Childhood ◽  
The Right

AbstractAnomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a very rare congenital heart anomaly. Most of the cases are asymptomatic during infancy and childhood. We report ARCAPA associated with aberrant right subclavian artery in a 2-month male infant presenting with heart failure. We used computed tomography angiography for confirming the diagnosis and also for post-operative follow-up.

scholarly journals Hybrid one-stage reconstruction of the right subclavian artery occlusion and critical stenosis of the brachiocephalic trunk

2018 ◽  
Vol 9 (2) ◽  
pp. 50-53
Author(s):  
P. Yu. Orekhov ◽  
A. V. Chupin ◽  
S. V. Deryabin ◽  
D. P. Lebedev ◽  
A. S. Titovich ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Bypass Surgery ◽  
Artery Occlusion ◽  
Subclavian Steal Syndrome ◽  
Critical Stenosis ◽  
Subclavian Artery Occlusion ◽  
Brachiocephalic Trunk ◽  
One Stage Reconstruction ◽  
The Right ◽  
Steal Syndrome

The aim of this study was to introduce a clinical example of a one-time hybrid reconstruction of symptomatic occlusion of the right subclavian artery with subclavian steal syndrome and critical stenosis of the brachiocephalic trunk in a patient after an aorto-femoral bifurcation bypass surgery and multiple reconstructions of distal anastomoses.

Acute Thrombotic Subclavian Artery Occlusion Treated with a New Rotational Thrombectomy Device

2002 ◽  
Vol 9 (6) ◽  
pp. 917-921 ◽  
Author(s):  
Thomas Zeller ◽  
Ulrich Frank ◽  
Karlheinz Bürgelin ◽  
Lutz Sinn ◽  
Barbara Horn ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Brachial Artery ◽  
Duplex Ultrasound ◽  
Percutaneous Treatment ◽  
Artery Occlusion ◽  
Sudden Onset ◽  
Rotational Thrombectomy ◽  
Subclavian Artery Occlusion ◽  
Thrombectomy Device ◽  
Pain At Rest

Purpose: To report the use of a new rotational thrombectomy device for percutaneous thrombectomy of an acutely occluded subclavian artery. Case Report: A 71-year-old woman with a history of multivessel coronary disease complained of sudden onset of pain at rest and paleness of the left arm. Duplex ultrasound showed a localized thrombotic occlusion of the postvertebral subclavian artery and another at the bifurcation of the brachial artery. After angiographic confirmation, the subclavian artery was recanalized with an 8-F Rotarex device via a percutaneous transfemoral access; the bifurcation of the brachial artery was recanalized by local thrombolysis (50 mg rtPA) because the thrombectomy device was too short to reach the occlusion. Follow-up examinations up to 1 year have shown normalized perfusion of the left arm. Conclusions: This new thrombectomy device is a useful tool for the percutaneous treatment of acute occlusion in the brachiocephalic arteries.

Acute Thrombotic Subclavian Artery Occlusion Treated With a New Rotational Thrombectomy Device

2002 ◽  
Vol 9 (6) ◽  
pp. 917-921 ◽  
Author(s):  
Thomas Zeller ◽  
Ulrich Frank ◽  
Karlheinz Bürgelin ◽  
Lutz Sinn ◽  
Barbara Horn ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Artery Occlusion ◽  
Rotational Thrombectomy ◽  
Subclavian Artery Occlusion ◽  
Thrombectomy Device
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