Successful Treatment of a Subclavian Artery Stenosis With a Coronary Bioresorbable Vascular Scaffold.

PURPOSE: To report the use of a coronary bioresorbable vascular scaffold to treat subclavian artery disease.

CASE REPORT: A 58-year-old man was admitted for left subclavian steal syndrome. Angiography showed significant left subclavian stenosis in proximity to the ostium of the left vertebral artery. To maximize radial support and minimize restenosis risk while avoiding the chance of vertebral compromise, a coronary bioresorbable vascular scaffold (3.5×28 mm) was implanted after predilation. The device was postdilated with a 1.0-mm oversized balloon, with immediate improvement in hemodynamics and symptoms. Two-year clinical and imaging follow-up confirmed vessel patency.

CONCLUSION

This clinical vignette highlights the flexibility and potential of bioresorbable devices for endovascular specialists and calls for further development and use of this innovative technology.