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J Thorac Cardiovasc Surg 2006;131:e9-e10
© 2006 The American Association for Thoracic Surgery

Brief Communication

Subclavian artery angioplasty allows for implantation of the in situ internal thoracic artery graft in patients scheduled for surgical myocardial revascularization

Gianluca Rigatelli, MD, FESC, FACC a , b , * , Massimo Giordan, MD a , Paolo Cardaioli, MD a , Loris Roncon, MD a , Giuseppe Faggian, MD c , Giorgio Rigatelli, MD, FESC a , d , Pietro Zonzin, MD a

a Interventional Cardiology Unit, Division of Cardiology, Rovigo General Hospital, Italy
b Endocardiovascular Therapy Research, Legnago, Verona, Italy
c Department of Cardiovascular Surgery, University of Verona Medical School, Verona, Italy
d Department of Specialistic Medicine, Division of Cardiology, Legnago General Hospital, Verona, Italy.

Received for publication January 10, 2006; accepted for publication January 24, 2006.

* Address for reprints: Gianluca Rigatelli, MD, FACP, FCCP, FACC, FESC, FSCAI, EndoCardioVascular Therapy Research, Via T. Speri 18, 37040 Legnago, Verona, Italy. (Email: jackyheart@hotmail.com).

The first 20% of the full text of this article appears below.


Figure 1
Dr Rigatelli


Peripheral vascular atherosclerotic distributions involving especially the supra-aortic vessels are quite prevalent. 1 Go As a result, in patients with multivessel coronary disease including the left anterior descending (LAD) coronary artery, the left internal thoracic artery (ITA) may not be suitable as an arterial conduit because of left subclavian artery (LSA) stenosis. In such cases the alternatives are to implant a skeletonized left or right ITA graft (LITA or RITA graft), a radial artery, or a saphenous vein graft: unfortunately, all these options have a worse long-term patency rate than use of the in situ LITA. 2 Go To improve long-term patency rate, especially in relatively young patients, the in situ LITA can be made suitable as an arterial conduit by angioplasty and stenting of the LSA. We sought to present our preliminary experience of LSA stenting to make the LITA suitable as an arterial conduit in patients with stenosis of the LSA scheduled for surgical revascularization.

Methods

Between November . . . [Full Text of this Article]






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