Carpio-Cancino OG, Vallejo-Bravo EK, García-Galán JE, Balice-Olguín O, Navarro-Sánchez D

Language: Spanish
References: 7
Page: 80-84
PDF size: 180.26 Kb.

ABSTRACT

Introduction. Intense smoking is a significant risk factor for the occlusion of great arteries and aortic main branches. Their endovascular treatment can be associated to risk of distal embolization.
Objective. To argue the case of a patient with symptomatic left subclavian artery occlusion, the different neuroprotection methods and surgical interventions that could be performed on this patient.
Material and methods. A patient with an occlusion 3 cm long on the left subclavian artery, was treated by placing stents, under neuroprotection by means of an angioplasty balloon on the left vertebral artery.
Results. We achieved the permeabilization of the left subclavian artery, recovering antegrade vertebral flux, and pulses on the left thoracic limb, without cerebrovascular accidents.
Conclusions. It is possible to perform angioplasty in the left subclavian artery diminishing the risk of embolization to the posterior cerebral circulation under the simultaneous protection of a balloon inside the left vertebral artery.

REFERENCES

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