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Crush stenting of bifurcational left subclavian-vertebral artery stenosis

✍ Scribed by Ariel Roguin; Imad A. Alhaddad

Publisher
John Wiley and Sons
Year
2004
Tongue
English
Weight
57 KB
Volume
62
Category
Article
ISSN
1522-1946

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✦ Synopsis

Abstract

Left internal mammary artery (LIMA) has the best long‐term patency in patients undergoing coronary artery bypass surgery. Stenosis of the proximal left subclavian artery (SA) may reduce flow to the LIMA, causing myocardial ischemia. We report a novel technique (crush stenting) for the treatment of a complex bifurcational left SA‐vertebral artery (VA) stenosis in the presence of a patent LIMA bypass conduit. This technique limited plaque shifting, restored normal flow to all vessels, including the LIMA, and avoided devastating consequences of VA occlusion. Catheter Cardiovasc Interv 2004;62:393–395. Β© 2004 Wiley‐Liss, Inc.

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