title: Diagnosis and targeted percutaneous management of a critical subclavian artery stenosis in a patient with absent peripheral pulses with the use of cardiac computed tomography.
abstract: Current clinical practice dictates that invasive management strategies frequently are adopted in patients with both ST-segment elevation and non-ST-segment elevation acute coronary syndromes. Such strategies rely on obtaining vascular access and, as such, are not always technically feasible. We report a case in which cardiac computed tomography was used to great effect in the diagnostic and (targeted) interventional management of a patient who was the recipient of a previous coronary artery bypass grafting and presented with global myocardial ischemia, in whom the lack of peripheral pulses had previously rendered an early invasive strategy hazardous.
authors.affiliation: Deparment of Cardiology, Royal Infirmary, Glasgow G4 OSF, Scotland, UK. robinweir75@hotmail.com
authors.forename: Robin A P
authors.initials: RA
authors.lastname: Weir
authors.forename: Ross
authors.initials: R
authors.lastname: MacDuff
authors.forename: Hany
authors.initials: H
authors.lastname: Eteiba
authors.forename: Giles H
authors.initials: GH
authors.lastname: Roditi
mesh_terms: D000368:Aged; D050197:Atherosclerosis / Q000601:surgery*; D006801:Humans; D008297:Male; D015641:Radiography, Interventional / Q000379:methods; D013349:Subclavian Steal Syndrome / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*