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PTA of a left subclavian artery stenosis (balloon angioplasty)

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  1. Puncture of the right common femoral artery

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    Puncture of the right common femoral artery
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    Infiltration anesthesia right groin with Xylonest 1%. Palpation and puncture of the common femoral artery. Insertion of a Terumo® wire through the puncture cannula.

  2. Advancing the sheath up to the aortic arch

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    Advancing the sheath up to the aortic arch
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    Advancing the Terumo® wire under fluoroscopic control centrally as well as placing a long sheath (length 70-90 cm, diameter 6-8 French). Under fluoroscopy, the sheath is advanced up to the aortic arch. Then administration of 5000 IU heparin systemically.

Angiography

Visualization of the supra-aortic branches, particularly the left subclavian artery. Marking of the

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