title: Subclavian stenting in a hostile aortic arch facilitated by a low-profile brachial artery through-and-through access.
abstract: Subclavian stenting can be extremely difficult in a hostile type II aortic arch (with acute angulation of the subclavian artery origin) or type III aortic arch. This case illustrates use of a low-profile system to gain through-and-through (flossing) access through the brachial artery to facilitate stenting via the femoral approach. This approach can be useful in patients with small brachial arteries where the risk of complication may be high if a standard vascular sheath was placed for stenting via the brachial approach. This technique also avoids the use of a surgical cut down.
authors: Dayton Interventional Radiology, 3075Governors Place Blvd.,Dayton, OH 45409, USA. mubinsyed@aol.com
authors: Mubin I
authors: MI
authors: Syed
authors: Talal
authors: T
authors: Akhter
authors: Uzma
authors: U
authors: Wahid
authors: Azim
authors: A
authors: Shaikh
authors: Mohsin
authors: M
authors: Mirza
authors: Granville J
authors: GJ
authors: Tengesdahl
mesh_terms: D000368:Aged; D000792:Angiography; D001013:Aorta, Thoracic; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D001916:Brachial Artery; D002406:Catheterization, Peripheral / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006225:Hand / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D018616:Ultrasonography, Doppler, Duplex