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Vascular Medicine, Vol. 12, No. 3, 207-210 (2007)
DOI: 10.1177/1358863X07081258
© 2007 SAGE Publications

A novel approach using atherectomy for chronic total occlusion of the brachial artery: a case report

Yuri B. Pride

Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA

Duane S. Pinto

Divisions of Interventional Cardiology and Vascular Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA

Lawrence A. Garcia

Divisions of Interventional Cardiology and Vascular Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA, lagarcia{at}BIDMC.harvard.edu

Chronic upper limb ischemia is uncommon, and is most often secondary to subclavian artery stenosis. Percutaneous intervention for subclavian stenosis usually includes balloon angioplasty and stent implantation. Brachial artery stenosis is even more scarce and accounts for approximately 12% of symptomatic upper extremity ischemia. Because it is rare, the optimal treatment strategy for brachial artery stenosis remains uncertain. We describe a case of chronic brachial artery ischemia due to atherosclerotic disease treated with the SilverHawkTM plaque excision system and review the available data regarding its use.

Key Words: atherectomy • chronic upper limb ischemia • peripheral arterial disease


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