We describe a patient with Takayasu's arteritis (type I): occlusion of all
large vessels of the aortic arch except the left subclavian artery which wa
s, however, almost completely occluded, resulting in a characteristic subcl
avian steal syndrome. Elective left main subclavian artery balloon angiopla
sty followed by endoluminal stenting was performed with excellent results.
After prolonged immunosuppressive treatment, at the 12-month follow-up ther
e was no evidence of restenosis, In selected patients with Takayasu's arter
itis and subclavian stenosis, elective endoluminal stenting can be used as
a definitive procedure or as a bridge to surgical revascularization, Copyri
ght (C) 2000 S. Karger AG, Basel.