PMC9931498_01
Angiogram of the right upper extremity demonstrating right axillo-brachial artery chronic occlusion (denoted by black arrow).
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FIG1
Angiogram was performed which revealed occlusion of bilateral axillary and brachial arteries with collateralization (Figures 1, 2).
Angiogram of the left upper extremity demonstrating left axillo-brachial artery chronic occlusion (denoted by black arrow).
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FIG2
Angiogram was performed which revealed occlusion of bilateral axillary and brachial arteries with collateralization (Figures 1, 2).
Left upper extremity angiogram demonstrating ravascularization of the left axillo-brachial artery following endovascular therapy (denoted by black arrow).
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FIG3
A 4 x 100 mm AngiogSculpt balloon (Philips Healthcare, Best, Netherlands) was used for angioplasty which led to excellent flow into the arm with no hemodynamic gradient seen across the stenosis (Figure 3) (post-angioplasty result).
Digital subtraction angiography of the right upper extremity demonstrating the ambiguous proximal cap of the right axillo-brachial artery with extensive collateralization (denoted by black arrow).
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FIG4
With antegrade imaging, the proximal cap was difficult to discern (Figure 4).
Angiogram of the right upper extremity demonstrating revascularization of the right axillo-brachial artery following endovascular therapy (denoted by black arrow).
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FIG5
Post-angioplasty, there were good angiographic results without significant gradient across the diseased segment (Figure 5).