Subclavian artery stenting via bilateral radial artery access: Four case reports

Figure 1 The imaging of cases. A-C: Case 1. At 15:29, right radial artery puncture was inserted into 5F arterial sheath, and Simon2 catheter was selected for left subclavian artery angiography (A); At 15:33, the left radial artery was punctured and a 6F arterial sheath was inserted. A 2.6 m 0.035 guidewire was used for stenting to the left subclavian artery ulcerated plaque with stenosis under Simon2 catheterization positioning (B); At 15:42, 12 ATM dilated the balloon to release the stent. The stent was in good shape. The total procedure took 13 min (C); D and E: Case 2. At 15:45, the right radial artery was punctured and inserted into the 5F arterial sheath, and the Simon2 catheter was selected for left subclavian artery angiography (D); At 15:53, the 6F arterial sheath was inserted via left radial artery puncture. The stent was guided into the place with a 2.6-length 0.035 guidewire and successfully released under Simon2 catheter angiographic positioning. Its morphology was good (E); F-H: Case 3. At 18:35, the right radial artery was punctured and a 5F arterial sheath was inserted. The Simon2 catheter was selected for left subclavian artery angiography (F); At 18:41, the 6F arterial sheath was inserted by left radial artery puncture. A 2.6-length 0.035 guidewire was used to guide the stent to the subclavian artery stenosis under Simon2 catheterization positioning (G); At 18:44, 13 ATM dilated balloon to release the stent. Its morphology was good (H); I-K: Case 4. At 13:28, the left radial artery was punctured and a 5F arterial sheath was inserted. The Simon2 catheter was selected into the unnamed artery for imaging (I); At 13:39, the 6F arterial sheath was inserted through the right radial artery puncture. A 2.6-length 0.035 guidewire was used to guide the stent into place under Simon2 catheterization positioning (J); At 13:48, 14 ATM stent was released accurately. Its morphology was good (K).