Treatment of an iatrogenic subclavian artery dissection.
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.
Spies
Christian
C
Department of Cardiovascular Diseases, The Queen's Medical Center, Heart Physician Practice, 550 S. Beretania Street, Honolulu, HI 96813, USA. cspies@queens.org
Fergusson
David
D
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