Murai Satoshi, Itami Hisakazu, Nishi Kazuhiko, Otsuka Shinji, Kusaka Noboru, Nishiura Tsukasa, Ogihara Kotaro
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Japan.
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Japan.
J Stroke Cerebrovasc Dis. 2017 Apr;26(4):e64-e68. doi: 10.1016/j.jstrokecerebrovasdis.2017.01.005. Epub 2017 Feb 2.
Coronary subclavian steal syndrome (CSSS) is a well-recognized phenomenon secondary to coronary artery bypass grafting and may cause myocardial ischemia. We report 2 cases of CSSS successfully treated with subclavian artery (SA) stenting. In both cases, an Optimo balloon guiding catheter was placed in the SA immediately proximal to the vertebral artery (VA) origin as a double protection system for the VA and left internal thoracic artery (LITA) graft. There were no periprocedural complications. Balloon protection for both the VA and LITA using a single balloon guiding catheter is a reasonable and safe technique for preventing distal embolisms.
冠状动脉锁骨下动脉窃血综合征（CSSS）是冠状动脉旁路移植术后一种公认的现象，可能导致心肌缺血。我们报告2例经锁骨下动脉（SA）支架置入成功治疗的CSSS病例。在这两例病例中，均将Optimo球囊引导导管置于椎动脉（VA）起始部紧邻的SA处，作为VA和左内乳动脉（LITA）移植物的双重保护系统。围手术期无并发症发生。使用单个球囊引导导管对VA和LITA进行球囊保护是预防远端栓塞的一种合理且安全的技术。
