title: Distal Embolization During Percutaneous Subclavian Artery Intervention.
abstract: Distal embolization due to atherothrombotic debris during subclavian artery interventions is extremely rare and can usually be managed conservatively. Herein, we describe a case of acute hand ischemia due to massive distal embolization during balloon angioplasty and stenting of a left subclavian artery chronic total occlusion. This limb-threatening complication was effectively treated with rescue surgical thrombectomy.
authors.affiliation: Division of Cardiovascular Diseases, University of Rochester, Rochester, NY, USA adnanalkhouli@gmail.com.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Alkhouli
authors.affiliation: Vascular Surgery Division, University of Rochester, Rochester, NY, USA.
authors.forename: John
authors.initials: J
authors.lastname: Porter
authors.affiliation: Division of Cardiovascular Diseases, University of Rochester, Rochester, NY, USA.
authors.forename: Bryan
authors.initials: B
authors.lastname: Waits
authors.affiliation: Division of Cardiovascular Diseases, University of Rochester, Rochester, NY, USA.
authors.forename: Frederick S
authors.initials: FS
authors.lastname: Ling
authors.affiliation: Division of Cardiovascular Diseases, University of Rochester, Rochester, NY, USA Vascular Surgery Division, University of Rochester, Rochester, NY, USA.
authors.forename: Craig R
authors.initials: CR
authors.lastname: Narins
mesh_terms: D000208:Acute Disease; D000368:Aged; D000792:Angiography; D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000295:instrumentation; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002908:Chronic Disease; D003251:Constriction, Pathologic; D004617:Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D006225:Hand / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D058226:Plaque, Atherosclerotic; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery; D017131:Thrombectomy; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex
keywords: distal embolization; endovascular treatment; subclavian stenosis