Combined Coronary and Subclavian Artery Catheterization


The combined catheterization was performed on a man in his sixties from one of the villages in northern Israel. The patient who had undergone a coronary bypass operation a number of years previously, arrived at Ziv's emergency department, suffering from a myocardial infarction (heart attack).
During catheterization, occluded coronary vessels and a severely stenosis of the left subclavian artery were visualized. The subclavian artery is the vessel supporting the old bypass, and a narrowing at its origin deprived appropriate blood supply to the bypass and the heart. The primary target, reopening of the occluded coronary arteries, was established by the head of the Cardiology Department, Dr. Majdi Halabi, by braking through blood clots and stabilizing by coronary stents. The second phase, enlarging the stenosis origin of the subclavian artery, was done by Dr. Alexander Altshuler head of Invasive Radiology unit and Dr. Tal Salamon, head of the Vascular Surgery Unit. By ballooning and stent deployment, the subclavian artery could again support the blood supply to the heart.

Both catheterizations were successful and the occlusions in the patient's arteries were removed and he was released a few days later, without any heart symptoms.

Dr. Salamon explained that the catheterization and stents deployment are performed via brachial and femoral artery approach, under local anesthesia, with x-ray guidance and does not require a long period of recovery or hospital stay.

"After we opened the arteries and placed the stents, the patient no longer had any medical limitations and was released to his home to resume his routine life. This is the first time that we have performed a combined coronary and peripheral arterial occlusion catheterization (angioplasty) in a collaborative fashion, with three departments involved ", said Dr. Salamon.