Chronic Total Occlusion of the Innominate Trunk: Successful Recanalization with Retrograde Technique and Dedicated Devices Borrowed from Percutaneous Coronary Interventions Pages 1-3

Arturo Giordano1, Stefano Messina1, Michele Polimeno1, Nicola Corcione1, Paolo Ferraro1, Giuseppe Biondi-Zoccai2 and Gabriele Giordano1
1Unità Operativa di Interventistica Cardiovascolare, Presidio Ospedaliero Pineta Grande, Castelvolturno, and Unità Operativa di Emodinamica, Casa di Salute Santa Lucia, San Giuseppe Vesuviano, Italy; 2Dipartimento di Scienze e Biotecnologie Medico-Chirurgiche, Sapienza Università di Roma, Latina, Italy

DOI: http://dx.doi.org/10.12970/2311-052X.2014.02.01.1

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Abstract: The innominate trunk is a short vessel with crucial clinical relevance as in most patients it provides flow to the right subclavian artery and the right common carotid artery. Innominate trunk occlusions are particularly challenging, as results of endovascular therapy are suboptimal in terms of acute success, whereas open surgery poses a high risk of complications. The systematic application of techniques and devices developed for coronary occlusions holds the promise of substantially improving the management of subjects with peripheral artery disease. We hereby present a case of a patient with innominate trunk occlusion who underwent successful percutaneous revascularization by carefully and expertly exploiting techniques and devices well tested in the coronary realm. This clinical vignette suggests that this treatment approach may be feasible and risk-beneficial for otherwise challenging innominate trunk occlusions.

Keywords: Angioplasty, Percutaneous transluminal angioplasty, Peripheral artery disease, Subclavian artery. Read more