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- Title
Left subclavian artery stenting: an option for the treatment of the coronary-subclavian steal syndrome.
- Authors
de Almeida, Bruno Lorenção; Kambara, Antonio Massamitsu; Rossi, Fabio Henrique; Moreira, Samuel Martins; Jordao de Oliveira, Eduardo Silva; de Carvalho Linhares Filho, Frederico Augusto; Metzger, Patrick Bastos; Passalacqua, Aldo Zampieri
- Abstract
Introduction: The subclavian steal syndrome is characterized by the vertebral artery flow inversion, due to a stenotic lesion in the origin of the subclavian artery. The Coronary-subclavian Steal Syndrome is a variation of the Subclavian Steal Syndrome and is characterized by inversion of flow in the Internal Thracic artery that has been used as conduct in a myocardial revascularization. Its diagnosis must be suspected in patients with difference in pulse and arterial pressure in the upper limbs, that present with angina pectoris and that have done a myocardial revascularization. Its treatment must be a surgical bypass or a transluminal angioplasty. Objective: The objective is to show the left subclavian artery stenting as a safe and effective method to treat the coronary-subclavian steal syndrome. Methods: Historical prospective, non-randomized trial, through revision of the hospital records of the patients treated with the stenting of the left subclavian artery, from January 2006 to September 2012. Results: In the mentioned period, 4.291 miocardial revascularizations were performed with the use of the left mammary artery, and 16 patients were identified to have the Coronary-subclavian steal syndrome. All of them were submitted to endovascular treatment. The success rate was 100%; two patients experienced minor complications; none of them presented with major complications. Eleven of the 16 patients had ultrassonographic documentation of patent stent for at least one year; two patients lost follow up and other two died. Conclusion: The stenting of the left subclavian artery is a good option for the treatment of the Coronary-subclavian Steal Syndrome, with high level of technical and clinical success.
- Subjects
SUBCLAVIAN artery; SUBCLAVIAN steal syndrome; VERTEBRAL artery; INTERNAL thoracic artery; PULSE (Heart beat); MYOCARDIAL revascularization; TRANSLUMINAL angioplasty
- Publication
Brazilian Journal of Cardiovascular Surgery, 2014, Vol 29, Issue 2, p236
- ISSN
0102-7638
- Publication type
Article
- DOI
10.5935/1678-9741.20140031