To the Editor: A 38‐year‐old male presented with chest pain for coronary angiography to exclude coronary heart disease in the Second Affiliated Hospital of Nanchang University. During coronary angiography, a 6 Fr sheath was inserted without any difficulty after right radial artery access was obtained. However, the Loach guidewire could only be advanced to the descending aorta, and repeated atte...

We described a case of a 74-year-old man who suffered from acute coronary syndrome 7 years after coronary artery bypass grafting. The patient underwent angioplasty of the obtuse marginal branch of the left coronary artery from venous graft access, which did not result in relief of ailments. Only angioplasty of the narrowed subclavian artery caused an improvement in the patient's condition. The ...

28 Endovascular Today junE 2012 P roximal subclavian artery occlusive disease is a fairly common, usually asymptomatic, phenomenon.1 When patients become symptomatic, they can present with subclavian steal syndrome, or after coronary artery bypass grafting (CABG), coronary subclavian steal syndrome. Both syndromes share similar pathophysiology, diagnostic criteria, and management. The presentat...

We present a rare cause of subclavian steal syndrome secondary to a dialysis arteriovenous fistula (AVF). A 69-year-old female with end-stage renal disease presented with ataxia and recurrent fainting spells. Angiography revealed normal subclavian arteries bilaterally, a right VA origin occlusion, and an apparent left VA origin occlusion. However, carotid artery angiography demonstrated flow th...

Stenosis of the subclavian artery, before the left internal mammary artery branch, is an important problem for patients who have undergone coronary artery bypass grafting, with an incidence rate of 0.5-1.1%. In this paper, a case of left subclavian artery stenosis, which developed after coronary artery bypass surgery and led to recurrent anginal attacks in the patient, is presented.

Aneurysms of the intrathoracic subclavian artery are extremely rare. A 74 year-old man was referred to our hospital with an abnormal chest X-ray film. Contrast computed tomography revealed an intrathoracic left subclavian artery aneurysm. Via left 4th posterolateral thoracotomy, the aneurysm was exposed under systemic deep hypothermia and circulatory arrest. The distal arch was replaced with a ...

BACKGROUND Ultrasound guidance for central and peripheral venous access has been proven to improve success rates and reduce complications of venous cannulation. Appropriately trained and experienced operators add significantly to diminished patient morbidity related to venous access procedures. We discuss a patient who required an arterial stent-graft to prevent arterial hemorrhage following in...

Subclavian artery aneurysms are uncommon. The most common causes of these aneurysms are atherosclerosis and traumatic pseudoaneurysm. We report on a case of an atherosclerotic aneurysm of the right subclavian artery. The aneurysm was resected with a combined supra-infraclavicular approach, and a primary end-to-end anastomosis was performed. The postoperative course was uneventful. In arterioscl...

Background Subclavian and axillary arteries true aneurysms are rarely seen. The best incision for surgical approach is median sternotomy for intrathoracic right subclavian artery aneurysm, left thoracotomy for intrathoracic left subclavian artery aneurysm and supraclavicular incision for extrathoracic ones. Many surgeons approaches as subclavicular incision, subclavicular incision extending to ...

Introduction: Subclavian steal syndrome refers to the reversal of vertebral blood flow in the setting of proximal subclavian or innominate artery severe stenosis or occlusion resulting in the symptoms of vertebrobasilar insufficiency related to exercise of the upper extremities. It is more common on the left side. Case report: We reported a case of subclavian steal syndrome on the right side in...