Carotid-subclavian bypass to manage steal syndrome and hand ischemia after failed endovascular attempt

We present a case of failed endovascular attempt to treat a severely calcified and stenosed left subclavian artery complicated by injury and occlusion of the brachial artery with resultant hand ischemia. A carotid-subclavian artery bypass augmented the inflow in both the vertebral artery and the upper limb managing successfully both issues, avoiding the need for further bypass to the arm.

This case reminds the significance and the irreplaceable role of open revascularazation procedures and highlights the educational need for every vascular trainee.


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