冠状动脉旁路移植术后锁骨下动脉粥样斑块切除术及血管成形术治疗冠状动脉锁骨下动脉窃血综合征
Subclavian atherectomy and angioplasty for coronary subclavian steal syndrome post CABG.
作者信息
Gill Harkanwar, Gill Harman S, Kotha Vamshi
机构信息
Department of Diagnostic Radiology, University of Oklahoma HSC, Oklahoma City, OK, USA.
Department of Interventional Radiology, Foothills Medical Centre, Calgary, Canada.
出版信息
Radiol Case Rep. 2022 Mar 5;17(5):1524-1527. doi: 10.1016/j.radcr.2022.02.032. eCollection 2022 May.
Coronary subclavian steal syndrome is an uncommon complication occurring in patients with coronary artery bypass graft (CABG). We describe a case of a 69-year-old male with a remote history of CABG who presented with exertional left arm pain and angina. Computed Tomographic Angiography of the chest demonstrated a severe left proximal subclavian artery stenosis. The case demonstrates successful application of subclavian atherectomy with use of embolic protective device, alleviating the need of stent, for treatment of Coronary subclavian steal syndrome in patient with remote history of CABG.
冠状动脉锁骨下动脉窃血综合征是冠状动脉旁路移植术（CABG）患者中一种罕见的并发症。我们描述了一例69岁男性患者，有既往CABG史，出现劳力性左臂疼痛和心绞痛。胸部计算机断层血管造影显示左锁骨下动脉近端严重狭窄。该病例展示了在有既往CABG史的患者中成功应用带栓子保护装置的锁骨下动脉斑块切除术，从而避免了支架植入的需要，用于治疗冠状动脉锁骨下动脉窃血综合征。
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