Goel Pravin K, Moorthy Nagaraja
Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Asian Cardiovasc Thorac Ann. 2013 Oct;21(5):599-601. doi: 10.1177/0218492312458913. Epub 2013 Jul 9.
Endovascular treatment is a well-established option for subclavian artery stenosis. However, total occlusion of the proximal subclavian artery remains a challenge, posing difficulties of nonvisualization of distal vessels, access site issues, and deployment of vertebral embolism protection devices. A 65-year-old man with chronic total occlusion of the ostial left subclavian artery, underwent successful endovascular stenting in which the subclavian steal phenomenon was utilized as a roadmap to cross the occlusion.