SUBCLAVIAN ARTERY ANGIOPLASTY PROXIMAL TO A LEFT INTERNAL MAMMARY-CORONARY ARTERY BYPASS GRAFT - CASE-REPORT

被引:12
作者
SOULEN, MC [1 ]
SULLIVAN, KL [1 ]
机构
[1] THOMAS JEFFERSON UNIV,JEFFERSON MED COLL,DIV CARDIOVASC INTERVENT RADIOL,PHILADELPHIA,PA 19107
关键词
ARTERIES; TRANSLUMINAL ANGIOPLASTY; SUBCLAVIAN STEAL SYNDROME; INTERNAL MAMMARY-CORONARY ARTERY BYPASS;
D O I
10.1007/BF02577897
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Subclavian artery angioplasty is an established treatment for subclavian steal syndrome and arm ischemia caused by subclavian stenosis. We report a case of angina pectoris caused by a subclavian artery stenosis proximal to a left internal mammary-coronary artery bypass graft. Angioplasty was performed without complication and with complete relief of symptoms. Reactive hyperemia was induced in the forearm and hand with a blood pressure cuff prior to angioplasty to increase blood flow to the arm, and to reduce the chance of graft embolization. Repeat angiography 6 months later confirmed continued patency of the subclavian artery and the graft and reversal of the steal physiology. The patient remains symptom free 15 months after angioplasty.
引用
收藏
页码:355 / 357
页数:3
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