title: Stenting of a large thrombus-containing subclavian artery stenosis using a distal protection device.
abstract: Atheromatous obstructive lesions of the arch vessels that contain thrombi are at high risk for distal embolization during angioplasty. This can lead to catastrophic neurological complications. We report a case of acute-on-chronic ischemia of the left upper limb due to thrombus-containing subclavian artery stenosis. After placement of an intravascular filter device, angioplasty and stent implantation successfully relieved the stenosis without any complications.
authors.affiliation: Department of Cardiology, GB Pant Hospital and Maulana Azad Medical College, New Delhi. drsanjay@nda.vsnl.net.in
authors.forename: Sanjay
authors.initials: S
authors.lastname: Tyagi
authors.forename: UmaMahesh C
authors.initials: UC
authors.lastname: Rangasetty
authors.forename: Upkar A
authors.initials: UA
authors.lastname: Kaul
mesh_terms: D000368:Aged; D021721:Balloon Occlusion / Q000295:instrumentation; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D011482:Protective Devices; D011859:Radiography; D015607:Stents; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*
chemical_list: D005343:Fibrinolytic Agents; D006493:Heparin