Successful Angioplasty of Left Vertebral Artery and Right Subclavian Artery Via Retrograde Approach
Published: February 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/22254.9257
Mohammad Hasan Namazi, Isa Khaheshi, Amir Momenizadeh, Amir Dousti, Mohammadreza Naderian
1. Cardiovascular Research Center, Modarres hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2. Department of Cardiology, Cardiovascular Research Center, Modarres hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3. Department of Cardiology, Cardiovascular Research Center, Modarres hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4. Department of Cardiology, Cardiovascular Research Center, Modarres hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Students’ Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran.
Correspondence
Dr. Isa Khaheshi,
Cardiovascular Research Center, Modarres hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
E-mail: isa.khaheshi@gmail.com
We describe a 77-year-old male who had right upper limb ischemic symptoms and history of unsuccessful right subclavian artery angioplasty. According to ultrasound findings, upper limb angiography was performed which confirmed stenosis of the left vertebral and right subclavian arteries. Percutaneous angioplasty and stenting of left vertebral and right subclavian arteries were performed in two separate sessions. Retrograde approach was scheduled for right subclavian artery angioplasty which is challenging due to potential risks to adjacent vertebral artery. This case reports underscores that percutaneous approaches may be preferential given their confirmed long-term efficacy and lower morbidity.
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