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Cheatham-platinum-covered stent, aortic coarctation, and left subclavian artery: sometimes is there one too many?

Published online by Cambridge University Press:  02 September 2019

Vincenzo Tufaro
Affiliation:
Department of Congenital Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy
Gianfranco Butera*
Affiliation:
Department of Congenital Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy
*
Author for correspondence: Dr G. Butera, MD, PhD, FSCAI, Department of Congenital Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato Hospital, Piazza Edmondo Malan, 1, 20097 San Donato Milanese, Milan, Italy. Tel: +39 02752774328; Fax +39 0252774459; E-mail: gianfrancobutera@libero.it

Abstract

A new approach was used in the percutaneous treatment of two patients with severe recoarctation involving the origin of the left subclavian artery. A tiny handmade fenestration was created in a NuMED-covered Cheatham-platinum stent before its implantation to avoid left subclavian artery occlusion. The stent placement was performed using a two-guidewire technique in which the different stiffness helped a proper positioning of the stent. After the stent deployment, the fenestration was enlarged performing a balloon angioplasty to improve flow in left subclavian artery.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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Footnotes

The online version of this article has been updated since original publication. A notice detailing the changes has also been published.

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