Symptomatic angina secondary to coronary‐subclavian steal syndrome treated successfully by percutaneous transluminal angioplasty of the subclavian artery

Subclavian artery stenosis causing severely symptomatic angina in a patient with a previous left internal mammary artery bypass to the left anterior descending artery was treated successfully with percutaneous transluminal angioplasty. Baseline arteriography clearly revealed subclavian and coronary...

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Veröffentlicht in:Catheterization and cardiovascular diagnosis 1992-05, Vol.26 (1), p.12-14
Hauptverfasser: Feld, Harry, Nathan, Paul, Raninga, Dilsukh, Shani, Jacob
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container_title Catheterization and cardiovascular diagnosis
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creator Feld, Harry
Nathan, Paul
Raninga, Dilsukh
Shani, Jacob
description Subclavian artery stenosis causing severely symptomatic angina in a patient with a previous left internal mammary artery bypass to the left anterior descending artery was treated successfully with percutaneous transluminal angioplasty. Baseline arteriography clearly revealed subclavian and coronary steal by evidence of competitive flow of nonopacified blood from the left vertebral artery. Although there was a difference of only 15 mm Hg between the right and left brachial arteries, there was a palpable difference in the upstroke of these pulses. The stenosis in the subclavian artery was successfully dilated with percutaneous transluminal angioplasty. Angiographic evidence of subclavian steal resolved following balloon dilatation, and the patient's angina was completely resolved. © 1992 Wiley‐Liss, Inc.
doi_str_mv 10.1002/ccd.1810260104
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Baseline arteriography clearly revealed subclavian and coronary steal by evidence of competitive flow of nonopacified blood from the left vertebral artery. Although there was a difference of only 15 mm Hg between the right and left brachial arteries, there was a palpable difference in the upstroke of these pulses. The stenosis in the subclavian artery was successfully dilated with percutaneous transluminal angioplasty. 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Baseline arteriography clearly revealed subclavian and coronary steal by evidence of competitive flow of nonopacified blood from the left vertebral artery. Although there was a difference of only 15 mm Hg between the right and left brachial arteries, there was a palpable difference in the upstroke of these pulses. The stenosis in the subclavian artery was successfully dilated with percutaneous transluminal angioplasty. Angiographic evidence of subclavian steal resolved following balloon dilatation, and the patient's angina was completely resolved. © 1992 Wiley‐Liss, Inc.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angina Pectoris - diagnostic imaging</subject><subject>Angina Pectoris - therapy</subject><subject>Angioplasty, Balloon</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Disease - diagnostic imaging</subject><subject>Coronary Disease - therapy</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. 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Miscellaneous</topic><topic>Graft Occlusion, Vascular - diagnostic imaging</topic><topic>Graft Occlusion, Vascular - therapy</topic><topic>Humans</topic><topic>internal mammary artery bypass</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Myocardial Infarction - diagnostic imaging</topic><topic>Myocardial Infarction - therapy</topic><topic>Myocardial Revascularization</topic><topic>Saphenous Vein - transplantation</topic><topic>stenosis</topic><topic>Subclavian Steal Syndrome - diagnostic imaging</topic><topic>Subclavian Steal Syndrome - therapy</topic><topic>symptomatic angina</topic><toplevel>online_resources</toplevel><creatorcontrib>Feld, Harry</creatorcontrib><creatorcontrib>Nathan, Paul</creatorcontrib><creatorcontrib>Raninga, Dilsukh</creatorcontrib><creatorcontrib>Shani, Jacob</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular diagnosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Feld, Harry</au><au>Nathan, Paul</au><au>Raninga, Dilsukh</au><au>Shani, Jacob</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Symptomatic angina secondary to coronary‐subclavian steal syndrome treated successfully by percutaneous transluminal angioplasty of the subclavian artery</atitle><jtitle>Catheterization and cardiovascular diagnosis</jtitle><addtitle>Cathet Cardiovasc Diagn</addtitle><date>1992-05</date><risdate>1992</risdate><volume>26</volume><issue>1</issue><spage>12</spage><epage>14</epage><pages>12-14</pages><issn>0098-6569</issn><eissn>1097-0304</eissn><coden>CCDIDC</coden><abstract>Subclavian artery stenosis causing severely symptomatic angina in a patient with a previous left internal mammary artery bypass to the left anterior descending artery was treated successfully with percutaneous transluminal angioplasty. Baseline arteriography clearly revealed subclavian and coronary steal by evidence of competitive flow of nonopacified blood from the left vertebral artery. Although there was a difference of only 15 mm Hg between the right and left brachial arteries, there was a palpable difference in the upstroke of these pulses. The stenosis in the subclavian artery was successfully dilated with percutaneous transluminal angioplasty. Angiographic evidence of subclavian steal resolved following balloon dilatation, and the patient's angina was completely resolved. © 1992 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>1354080</pmid><doi>10.1002/ccd.1810260104</doi><tpages>3</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Aged
Aged, 80 and over
Angina Pectoris - diagnostic imaging
Angina Pectoris - therapy
Angioplasty, Balloon
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Coronary Angiography
Coronary Artery Bypass
Coronary Disease - diagnostic imaging
Coronary Disease - therapy
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Graft Occlusion, Vascular - diagnostic imaging
Graft Occlusion, Vascular - therapy
Humans
internal mammary artery bypass
Male
Medical sciences
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - therapy
Myocardial Revascularization
Saphenous Vein - transplantation
stenosis
Subclavian Steal Syndrome - diagnostic imaging
Subclavian Steal Syndrome - therapy
symptomatic angina
title Symptomatic angina secondary to coronary‐subclavian steal syndrome treated successfully by percutaneous transluminal angioplasty of the subclavian artery
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