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Kubota H, Nomura T, Hori Y, Yoshioka K, Miyawaki D, Urata R, Sugimoto T, Kikai M, Keira N, Tatsumi T. Successful endovascular treatment for thrombotic in-stent iliac occlusion with in-house-devised optimo ® -Like embolic protection system. Res Cardiovasc Med 2017; 6:9. [DOI: 10.5812/cardiovascmed.41325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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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.
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Affiliation(s)
- Mohamad Alkhouli
- Division of Cardiovascular Diseases, University of Rochester, Rochester, NY, USA
| | - John Porter
- Vascular Surgery Division, University of Rochester, Rochester, NY, USA
| | - Bryan Waits
- Division of Cardiovascular Diseases, University of Rochester, Rochester, NY, USA
| | - Frederick S. Ling
- Division of Cardiovascular Diseases, University of Rochester, Rochester, NY, USA
| | - Craig R. Narins
- Division of Cardiovascular Diseases, University of Rochester, Rochester, NY, USA
- Vascular Surgery Division, University of Rochester, Rochester, NY, USA
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