Percutaneous Transluminal Angioplasty for management of Chronic Total Occlusion of Subclavian Artery: A case series

Abstract

Percutaneous transluminal angioplasty (PTA) and stenting have emerged as viable alternatives to surgical approaches for managing chronic total occlusion (CTO) of the subclavian artery (SA). This case series presents five instances of successful percutaneous interventions in patients with SA-CTO lesions, demonstrating technical feasibility, effectiveness, and reliability. The endovascular approach offers a minimally invasive option with outcomes comparable to traditional surgical methods, reducing the risks associated with anesthesia and postoperative morbidity. While literature supports percutaneous interventions in acute and subtotal occlusions, data on SA-CTO lesions remain limited. The reported cases emphasize the need for prospective trials to evaluate the efficacy of percutaneous interventions in managing SA-CTO lesions, highlighting their potential as a safe and effective alternative.