Coronary Subclavian Steal Syndrome Successfully Treated with Subclavian Artery Stenting: A Report of 2 Cases.
Coronary subclavian steal syndrome (CSSS) is a well-recognized phenomenon secondary to coronary artery bypass grafting and may cause myocardial ischemia. We report 2 cases of CSSS successfully treated with subclavian artery (SA) stenting. In both cases, an Optimo balloon guiding catheter was placed in the SA immediately proximal to the vertebral artery (VA) origin as a double protection system for the VA and left internal thoracic artery (LITA) graft. There were no periprocedural complications. Balloon protection for both the VA and LITA using a single balloon guiding catheter is a reasonable and safe technique for preventing distal embolisms.
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Japan. Electronic address: juggler3104@yahoo.co.jp.
Satoshi
S
Murai
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Japan.
Hisakazu
H
Itami
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Japan.
Kazuhiko
K
Nishi
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Japan.
Shinji
S
Otsuka
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Japan.
Noboru
N
Kusaka
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Japan.
Tsukasa
T
Nishiura
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Japan.
Kotaro
K
Ogihara
D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects; D058686:Coronary-Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000209:etiology*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D055414:Myocardial Perfusion Imaging; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D015607:Stents / Q000009:adverse effects*; D013349:Subclavian Steal Syndrome / Q000628:therapy*
Coronary subclavian steal syndrome; balloon protection; percutaneous transluminal angioplasty; stent placement; subclavian artery stenosis