title: Retrieval of a malpositioned left subclavian artery stent from the ascending aorta: combined percutaneous and surgical management.
abstract: Chronic upper limb ischemia is an uncommon clinical condition and is most often caused by subclavian artery stenosis. Surgical and percutaneous treatment modalities have been shown to be effective for the management of subclavian artery occlusion. Because of lower mortality and morbidity rates, percutaneous interventions for subclavian arterial occlusions are more acceptable than surgery. Chronic total occlusions of the subclavian artery are challenging to treat percutaneously because of the structure and complexity of the lesion. The complexity of the lesion causes its own complications. In this paper, we report a case of a completely occluded left subclavian artery that was complicated by a malpositioned stent hanging into the aortic arch and the ascending aorta during percutaneous intervention, which was successfully managed by our heart team.
authors.affiliation: Department of Cardiology, Kartal Kosuyolu High Specialty Education and Research Hospital, Denizer Street, Cevizli Kavsagi, No: 2, 34846, Kartal/Istanbul, Turkey, gokselacar81@hotmail.com.
authors.forename: G
authors.initials: G
authors.lastname: Açar
authors.forename: S
authors.initials: S
authors.lastname: Fidan
authors.forename: G
authors.initials: G
authors.lastname: Alici
authors.forename: M M
authors.initials: MM
authors.lastname: Tabakci
authors.forename: A
authors.initials: A
authors.lastname: Avci
authors.forename: S
authors.initials: S
authors.lastname: Pala
mesh_terms: D001011:Aorta; D001132:Arm / Q000098:blood supply*; D003131:Combined Modality Therapy / Q000379:methods; D020878:Device Removal / Q000379:methods*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D015607:Stents; D013349:Subclavian Steal Syndrome / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome