PMC3212427_01
(A) Computed tomography angiogram of the left subclavian artery with thrombotic occlusion from the origin of the artery and (B) retrograde contrast injection through the introducer sheath demonstrates the end of the thrombotic occlusion.
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A computed tomography (CT) angiogram was performed that proved the thrombotic occlusion of the left subclavian artery beginning at the origin of the vessel (Figure 1A); the CT scan also proved the thrombotic occlusion of the proximal part of the axillary artery. Contrast dye was then injected retrograde through the introducer sheath and the end of the thrombotic occlusion was documented (Figure 1B).
(A) and (B) 6F Rotarex  catheter in position.
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A 6F Rotarex device was then passed over the 0.018-inch guide wire and through the occlusion four times (Figures 2A and B).
(A) Left subclavian artery 1 day after recanalization and stent implantation and (B) left axillary and brachial arteries after low-dose local lysis demonstrate a completely recanalized vessel without thrombotic material.
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The following day, an angiogram performed through the femoral artery documented completely recanalized subclavian and axillary arteries without any remaining thrombus and the patent nitinol stent at the origin of the subclavian artery (Figures 3A and B).