Subclavian Artery Intervention with Vertebral Embolic Protection
Subclavian Artery Intervention with Vertebral Embolic Protection
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DOI：
10.1002/ccd.21959
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发表时间：
2009-07-01
影响因子：
2.3
通讯作者：
Brilakis, Emmanouil
中科院分区：
文献类型：
--
作者：
Michael, Tesfaldet T.;Banerjee, Subhash;Brilakis, Emmanouil
在近端锁骨下动脉经皮介入治疗过程中，了解椎动脉和乳内动脉口的位置至关重要，以防止对任一动脉的意外损伤。我们报告一例严重的近端左锁骨下动脉狭窄的病人与三支血管疾病提到冠状动脉旁路移植术。通过左侧桡动脉入路进行逆行血管造影，可观察到左侧乳内动脉和左侧椎动脉口，并在左侧椎动脉中置入滤器导丝。左锁骨下动脉近端成功置入支架，无并发症。在滤器导丝中回收碎片。(C)2009威利-利斯公司
Knowing the location of the vertebral and the internal mammary artery ostia is crucial during proximal subclavian artery percutaneous intervention to prevent inadvertent injury to either artery. We report a case of severe proximal left subclavian artery stenosis in a patient with a three-vessel disease referred to coronary artery bypass graft surgery. Retrograde angiography via left radial access allowed visualization of the left internal mammary artery and the left vertebral artery ostia and placement of a Filter-wire in the left vertebral artery. The proximal left subclavian artery was successfully stented without complications. Debris was retrieved in the Filterwire. (C) 2009 Wiley-Liss, Inc.