PMC6295189_01
A-D. Arteriography. Occlusion of right iliac artery (A); Occlusion and aneurisms in terminal abdominal aorta and branches (B); Occlusion of right subclavian artery (C); Occlusion of left subclavian artery (D)
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F1
Peripheral artery angiography revealed bilateral subclavian artery occlusion, bilateral renal artery occlusion, infrarenal aortic occlusion (Fig.1).
A-D. Coronary angiography. Left coronary artery-occlusion of left anterior descending artery, occlusion of intermediate branch, severe stenosis of circumflex artery (A); Right coronary artery-50% stenosis in mid segment, retrograde perfusion of left coronary (B); Left anterior descending artery after stenting of circumflex and intermediate branches (C); Result after left anterior descending artery stenting (D)
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F2
Coronary artery angiography revealed chronic left anterior descending artery occlusion in the first segment, 90% stenosis of the circumflex artery in the first segment, occlusion of an important intermediary branch, and 50% stenosis of right coronary artery (Fig.2A and B). With the consent of the patient, a dual stage interventional revascularization was performed, first addressing the right subclavian artery, circumflex and intermediate branches of the left coronary artery (Fig.2C). In the second stage angioplasty of the left anterior descending artery was done (Fig.2D).