Title: Subclavian artery stenting via bilateral radial artery approach

Abstract

Background: Subclavian artery stenosis refers to the stenosis in the lumen caused by the presence of plaque or thrombus in the subclavian artery. It is a common problem in endovascular interventions. In fact, conventional subclavian artery stenting via the femoral artery approach is effective and safe. Nevertheless, because femoral artery puncture is not easy to stop bleeding, it requires longer femoral artery compression or more expensive hemostatic materials, such as staplers. Patients need to be catheterized and bedridden for a longer time, which may lead to many complications, such as pseudoaneurysm. Method Summary: We report a new subclavian artery interventional therapy. Through the bilateral radial artery approach, the 5F radial artery sheath was inserted on the opposite side of the lesion, and the 5F SM2 contrast tube was used for imaging positioning. The 6F radial artery sheath was inserted on the side of the lesion, and the guide wire was used to directly guide the stent to the subclavian stenosis without using the guide tube. Conclusion: Reviewing the successful placement of clavicular artery stents through bilateral radial arteries in our center, we believe that bilateral radial artery approach is feasible. Clavicular artery stenting is safe, effective and time-saving. It is an excellent alternative to traditional femoral artery surgery, with few complications and high comfort.