Use of a cutting balloon and a paclitaxel-coated balloon to treat recurrent subclavian in-stent restenosis causing coronary subclavian steal syndrome

Abstract A 56-year-old male with a past history of coronary artery bypass graft surgery underwent stent implantation for a severe proximal left subclavian artery stenosis. Recurrent in-stent restenosis (ISR) resulted in the coronary subclavian steal syndrome (CSSS), with angina due to compromised bl...

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Bibliographic Details
Published in:Cardiovascular revascularization medicine 2011-11, Vol.12 (6), p.403-406
Main Authors: Varcoe, Richard, Smith, William
Format: Article
Language:English
Subjects:
Aged
Angioplasty, Balloon - instrumentation
Balloon angioplasty
Cardiovascular
Cardiovascular Agents - administration & dosage
Coated Materials, Biocompatible
Coronary-Subclavian Steal Syndrome - diagnostic imaging
Coronary-Subclavian Steal Syndrome - etiology
Coronary-Subclavian Steal Syndrome - therapy
Drug Carriers
Drug-eluting balloon
Equipment Design
Humans
Male
Paclitaxel - administration & dosage
Peripheral vascular disease
Radiography
Recurrence
Restenosis
Subclavian Steal Syndrome - therapy
Treatment Outcome
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Summary:Abstract A 56-year-old male with a past history of coronary artery bypass graft surgery underwent stent implantation for a severe proximal left subclavian artery stenosis. Recurrent in-stent restenosis (ISR) resulted in the coronary subclavian steal syndrome (CSSS), with angina due to compromised blood flow in the left internal mammary artery/radial composite bypass graft. This was treated with cutting balloon predilatation followed by paclitaxel-coated balloon (PCB) dilatation, with an excellent angiographic result. At 10 months of follow-up, blood pressure in both arms was equal, and the patient remained symptom free. To our knowledge, this is the first report of successful treatment of subclavian ISR causing CSSS with a PCB.
ISSN:1553-8389
1878-0938
DOI:10.1016/j.carrev.2011.04.004