title: Treatment of an iatrogenic subclavian artery dissection.
abstract: Subclavian artery dissection is a rare complication of cardiac catheterization. The usual reason for entering this vessel is to access the origin of the left internal mammary artery (LIMA) when this has previously been used, or is being considered, as a bypass graft. We report an instance of such dissection occurring long after bypass surgery which had included a LIMA graft. Successful correction was achieved by angioplasty and stent placement, using a retrograde left brachial approach.
authors.affiliation: Department of Cardiovascular Diseases, The Queen's Medical Center, Heart Physician Practice, 550 S. Beretania Street, Honolulu, HI 96813, USA. cspies@queens.org
authors.forename: Christian
authors.initials: C
authors.lastname: Spies
authors.forename: David
authors.initials: D
authors.lastname: Fergusson
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D011859:Radiography; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D016896:Treatment Outcome