PMC9489898_01
Preoperative CT scan revealing soft tissue compression of the right axillary artery (B) and the left subclavian and axillary artery (A).
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F1
The patient was diagnosed with arterial thoracic outlet syndrome after clinical provocation tests (Wright test, Roos test, Adson test) and computed tomography (CT) (Figure 1) results showing artery compression at the thoracic outlet.
Rotarex thrombectomy combined with drug-coated balloon dilation in treating arterial TOS. (A) Baseline angiography showing right axillary artery occlusion. (B) Angiography after plain old balloon angioplasty in the right axillary artery. (C) Drug-coated balloon (DCB) angioplasty in the axillary artery. (D) Angiography after DCB angioplasty in the right axillary artery. (E) Angiography of the right axillary artery in the excessive abducted and hyperextension position. (F) Baseline angiography showing left subclavian and axillary artery occlusion. (G) Angiography after DCB angioplasty in the left subclavian and axillary artery. (H) Angiography after DCB angioplasty in the left subclavian and axillary artery.
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F2
Then, 3-, 5-, and 8-mm Mustang balloon catheters (Bosten Scientific, United States) (Figures 2C,G) were used to dilate the target vessels. Acotec drug-coated balloon catheter (Xianruida, China) was implanted subsequently to prevent neointimal hyperplasia and recurrence of thrombosis. Angiography shows that residual stenosis is less than 30% (Figures 2D,H) when the upper extremity is in the excessive abduction and hyperextension position (Figure 2E).