title: Use of a cutting balloon and a paclitaxel-coated balloon to treat recurrent subclavian in-stent restenosis causing coronary subclavian steal syndrome.
abstract: A 56-year-old male with a past history of coronary artery bypass graft surgery underwent stent implantation for a severe proximal left subclavian artery stenosis. Recurrent in-stent restenosis (ISR) resulted in the coronary subclavian steal syndrome (CSSS), with angina due to compromised blood flow in the left internal mammary artery/radial composite bypass graft. This was treated with cutting balloon predilatation followed by paclitaxel-coated balloon (PCB) dilatation, with an excellent angiographic result. At 10 months of follow-up, blood pressure in both arms was equal, and the patient remained symptom free. To our knowledge, this is the first report of successful treatment of subclavian ISR causing CSSS with a PCB.
authors.affiliation: Trent Cardiac Centre, Nottingham University Hospitals, Nottingham NG5 1PB, UK. richardvarcoe@hotmail.com
authors.forename: Richard
authors.initials: R
authors.lastname: Varcoe
authors.forename: William
authors.initials: W
authors.lastname: Smith
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D002317:Cardiovascular Agents / Q000008:administration & dosage*; D020099:Coated Materials, Biocompatible; D058686:Coronary-Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004337:Drug Carriers; D004867:Equipment Design; D006801:Humans; D008297:Male; D017239:Paclitaxel / Q000008:administration & dosage*; D011859:Radiography; D012008:Recurrence; D013349:Subclavian Steal Syndrome / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D002317:Cardiovascular Agents; D020099:Coated Materials, Biocompatible; D004337:Drug Carriers; D017239:Paclitaxel