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.
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.
Weir
Robin A P
RA
Deparment of Cardiology, Royal Infirmary, Glasgow G4 OSF, Scotland, UK. robinweir75@hotmail.com
MacDuff
Ross
R
Eteiba
Hany
H
Roditi
Giles H
GH
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*