The significance of subclavian artery injection prior to surgical myocardial revascularization.
Successful arterial revascularization using the internal thoracic artery is dependent on unobstructed inflow through the subclavian artery. Systematic physical examination should discover subclavian stenosis; however, simple routine injection into the orifice of the subclavian artery during the diagnostic catheterization may avoid a catastrophic outcome.
Department of Cardiothoracic Surgery, Hadassah University Hospital, Jerusalem, Israel. eamir@md2.huji.ac.il
Amir
A
Elami
Niv
N
Ad
Gideon
G
Merin
D000368:Aged; D006328:Cardiac Catheterization / Q000379:methods*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003937:Diagnosis, Differential; D006801:Humans; D007267:Injections / Q000379:methods*; D008297:Male; D009203:Myocardial Infarction / Q000601:surgery; D011300:Preoperative Care; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000502:physiology; D013349:Subclavian Steal Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging