Left Subclavian Artery Test Balloon Occlusion Before Covered Stent for Recoarctation and Aneurysm

2019 ◽  
Vol 11 (4) ◽  
pp. NP235-NP238
Author(s):  
Abraham Rothman ◽  
Michael L. Ciccolo ◽  
Alvaro Galindo ◽  
William N. Evans
Keyword(s):  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Hybrid Approach ◽  
Covered Stent ◽  
Left Ventricular ◽  
Balloon Occlusion ◽  
Patch Repair ◽  
Computed Tomographic ◽  
Artery Graft ◽  
Large Aneurysm

A 57-year-old man, with a history of coarctation patch repair at three years of age, presented with left ventricular dilatation and moderate to severe dysfunction. A computed tomographic angiogram of the chest revealed moderate residual stenosis of the distal arch and proximal descending aorta and a large aneurysm adjacent to the origin of the left subclavian artery. Due to high surgical risk, a hybrid approach was undertaken with temporary balloon occlusion of the left subclavian artery, followed by surgical left common carotid to left subclavian artery graft and percutaneous covered stent implantation to relieve the obstruction and exclude the aneurysm.

scholarly journals Treatment of an Unusual Occurrence of a Complex Left Subclavian Artery/Left Internal Mammary Artery Bifurcation Stenosis in the Setting of Coronary Subclavian Steal Syndrome and Ischemic Left Ventricular Systolic Dysfunction

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Michael J. Martinelli ◽  
Michael B. Martinelli
Keyword(s):  
Subclavian Artery ◽  
Internal Mammary Artery ◽  
Left Subclavian Artery ◽  
Left Internal Mammary Artery ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Subclavian Steal Syndrome ◽  
Internal Mammary ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

This case will illustrate the clinical and unique technical challenges, not previously reported, in a patient with a history of progressive left ventricular (LV) systolic dysfunction, congestive heart failure (CHF), myocardial infarction (MI), and a complex bifurcation lesion of the left subclavian artery (SA) involving the left internal mammary artery (LIMA) in the setting of coronary subclavian steal syndrome (CSSS). The approach to this lesion is complicated by significant LIMA involvement requiring intervention directed toward both the SA and the LIMA in the presence of severe LV systolic dysfunction. This clinical scenario necessitates a careful technique, utilizing bifurcation methods similar to those used in coronary intervention.

Stent-Graft Repair of a Mycotic Left Subclavian Artery Pseudoaneurysm

2003 ◽  
Vol 10 (1) ◽  
pp. 66-70 ◽  
Author(s):  
Junichiro Sanada ◽  
Osamu Matsui ◽  
Noboru Terayama ◽  
Satoshi Kobayashi ◽  
Tetsuya Minami ◽  
...  
Keyword(s):  
Ct Scan ◽  
Stent Graft ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Polyester Fabric ◽  
Marrow Transplant ◽  
Immunosuppressed Patient ◽  
Artery Pseudoaneurysm ◽  
Computed Tomographic ◽  
Mycotic Aneurysms

Purpose: To report successful stent-graft treatment of a mycotic pseudoaneurysm of the left subclavian artery in an immunosuppressed patient. Case Report: A 17-year-old immunosuppressed woman undergoing treatment for recurrent leukemia developed persistent fever and 2 episodes of hemoptysis. A contrast-enhanced computed tomographic (CT) scan demonstrated a saccular aneurysm of the left subclavian artery, which was considered to be a mycotic aneurysm caused by erosive fungal infection from the lung. The pseudoaneurysm was treated with a homemade stent-graft consisting of a nitinol stent and a polyester fabric. A type II endoleak present at the end of the procedure appeared to have sealed spontaneously on the CT scan at 3 days. No neurological deficit or ischemic symptoms of the left arm were noted during the follow-up, which lasted until the patient died 11 months later after rejecting a second bone marrow transplant. Conclusions: Endovascular repair may be an alternative to open surgery for the management of mycotic aneurysms of the subclavian artery.

Thoracoacromial artery injury after tube thoracostomy for pneumothorax

2020 ◽  
Vol 13 (8) ◽  
pp. e236224
Author(s):  
Shravan Leonard-Murali ◽  
Adhnan Mohamed ◽  
Ann Woodward ◽  
Dionne Blyden
Keyword(s):  
Blunt Trauma ◽  
Subclavian Artery ◽  
Stent Placement ◽  
Left Subclavian Artery ◽  
Covered Stent ◽  
Tube Thoracostomy ◽  
Coil Embolisation ◽  
Thoracostomy Tube ◽  
Thoracoacromial Artery ◽  
Artery Injury

In this case, a patient presented in a delayed fashion after blunt trauma is found to have a large left-sided pneumothorax, and tube thoracostomy is performed. After placement of the apically oriented tube, he developed haemothorax. CT imaging showed an area of questionable extravasation from the left subclavian artery, directly anterior to the thoracostomy tube. His haemothorax was refractory to adequate drainage with a new thoracostomy tube. He ultimately required angiography, coil embolisation and covered stent placement, followed by thoracoscopic evacuation of the haemothorax.

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.

Left Subclavian Artery Kinking: An Unusual Cause of Partial Subclavian Steal Syndrome

2021 ◽  
pp. 154431672110309
Author(s):  
Mariana de Gregório Faria ◽  
Mauro de Deus Passos ◽  
Dilson Palhares Ferreira ◽  
Luciano Moreira Alves
Keyword(s):  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Color Doppler ◽  
Color Doppler Ultrasound ◽  
Computed Tomographic Angiography ◽  
Subclavian Steal Syndrome ◽  
Computed Tomographic ◽  
Subclavian Steal ◽  
Tomographic Angiography ◽  
Steal Syndrome

This report describes the case of a 63-year-old asymptomatic patient presenting findings compatible with partial subclavian steal syndrome on color Doppler ultrasound of the carotid and vertebral arteries. The ultrasonic analysis of the cervical vessels showed no apparent cause to justify the subclavian steal. Computed tomographic angiography of the thoracic aorta showed left subclavian artery kinking proximal to the origin of the vertebral artery, an extremely rare finding that led to the subclavian steal. The patient underwent conservative treatment.

Successful coil embolisation for an arterio-bronchial fistula in a child presenting catastrophic haemoptysis

2020 ◽  
Vol 30 (11) ◽  
pp. 1744-1746
Author(s):  
Ryohei Matsuoka ◽  
Jun Muneuchi ◽  
Yuichiro Sugitani
Keyword(s):  
Subclavian Artery ◽  
Balloon Dilatation ◽  
Left Subclavian Artery ◽  
Rare Complication ◽  
Balloon Occlusion ◽  
Coil Embolisation ◽  
Bronchial Fistula

AbstractWe report the case of a 2-year-old girl who developed catastrophic haemoptysis due to an arterio-bronchial fistula after transcatheter balloon dilatation for a narrowing aortopulmonary shunt. We embolised the fistula while haemoptysis was controlled with the left bronchial block ventilation and haemostatic balloon occlusion of the left subclavian artery. An arterio-bronchial fistula is an extremely rare complication for balloon dilatation of an aortopulmonary shunt.

Sign in / Sign up

Export Citation Format

Share Document