Key result
Retrograde left brachial angioplasty and stenting successfully corrects late iatrogenic subclavian artery dissection post-bypass.
Why the study?
Subclavian artery dissection is a rare complication of cardiac catheterization requiring effective treatment strategies.
Case Report (n=1)
Angioplasty and stent placement via a retrograde left brachial approach can successfully treat iatrogenic subclavian artery dissection.
Answers are grounded in this paper and cite their sources.
Offers a potential endovascular option for rare post-bypass subclavian dissection; hypothesis-generating and should not yet change practice.
Subclavian artery dissection is a rare complication of cardiac catheterization. The usual reason for entering this vessel is to access the origin of the left internal mammary artery (LIMA) when this has previously been used, or is being considered, as a bypass graft. We report an instance of such dissection occurring long after bypass surgery which had included a LIMA graft. Successful correction was achieved by angioplasty and stent placement, using a retrograde left brachial approach.
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Spies et al. (2010) conducted a case report in Iatrogenic subclavian artery dissection (n=1). Angioplasty and stent placement using a retrograde left brachial approach was evaluated on Successful correction. Angioplasty and stent placement using a retrograde left brachial approach successfully corrected an iatrogenic subclavian artery dissection occurring long after bypass surgery.
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