Acute Cold Left Hand
48 yr old smoker presented with a cold left arm.
CT shows likely embolic disease in the left subclavian artery. There is high risk of further distal embolisation to hand or cranial embolisation via the left vertebral artery.
A ‘lifestream’ balloon expandable covered stent placed from left brachial artery approach with excellent outcome. Patients hand felt warm immediately after the procedure. Access site closed using ‘Proglide’ and patient discharged the following day.