Crush stenting of bifurcational left subclavian-vertebral artery stenosis

被引:4
|
作者
Roguin, A [1 ]
Alhaddad, IA [1 ]
机构
[1] Johns Hopkins Univ, Johns Hopkins Hosp, Dept Internal Med, Cardiovasc Div, Baltimore, MD USA
关键词
stent restenosis; left internal mammary artery; myocardial ischemia;
D O I
10.1002/ccd.20114
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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. (C) 2004 Wiley-Liss, Inc.
引用
收藏
页码:393 / 395
页数:3
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