Subclavian-vertebral artery bifurcation stenting using drug-eluting stents: a report of two cases using different techniques.
Endovascular treatment of vertebral artery stenosis and subclavian artery stenosis are low-risk procedures, but there are few reports of the best approach for subclavian-vertebral artery stenoses where there is an ostial stenosis of a vertebral artery that arises from a stenosed segment of the subclavian artery. This is a report of two cases with subclavian-vertebral artery stenosis that were treated with two different techniques. One-year follow up demonstrated widely patent stents. Also, to our knowledge, this is the first report of the use of the crush-stenting technique using drug-eluting stents in subclavian-vertebral artery bifurcation lesions.
Biria
Mazda
M
University of Kansas Medical Center and Kansas City Veterans Administration Medical Center, Kansas City, Missouri 64128, USA.
Tadros
Peter
P
Gupta
Kamal
K
D000328:Adult; D000368:Aged; D002404:Catheterization / Q000379:methods*; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D019736:Prostheses and Implants; D011859:Radiography; D020123:Sirolimus / Q000008:administration & dosage; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000473:pathology*
D007166:Immunosuppressive Agents; D020123:Sirolimus