Need help! Selective stent non lower extremity

Percutaneous accesses obtained utilizing a modified
Seldinger technique with placement of a 7 French sheath.
& AORTIC ARCH STUDY
36140 59
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any assistance is greatly appreciated.

Percutaneous access was then obtained in the left radial artery utilizing
a micropuncture kit with placement of a 5 French sheath.
I then advanced a vertebral catheter retrograde in the radial artery and
up to the left subclavian artery. I advanced a 7 French 90
cm destination sheath over the wire to the ascending aorta. A pigtail
catheter was used to perform aortography and then
selectively engaged the origin of the left subclavian artery with a
mammary catheter. I then performed simultaneous injections
in the subclavian artery through the 2 catheters and image the occlusion.Intervention was performed on the left subclavian artery. Initial
attempts at antegrade wiring of the lesion were unsuccessful
and I therefore performed retrograde wiring of the left subclavian
occlusion utilizing an 014 coronary guidewire. I then
performed angioplasty with a Boston Scientific Apex RX 3.0mmX 20mm
balloon. I was then able to antegrade wire the left
subclavian utilizing a Wholley wire. The lesion was angioplastied with a
Boston Scientific Mustang 135cm 6mmX20mm balloon.
The left subclavian was stented with a Express LD Iliac / Biliary OTW 7F
9mm x 25mm 135cm Stent. Final angiography
demonstrated no residual stenosis with no evidence of perforation,
dissection or distal embolization. Angiography was
performed of the right common femoral artery demonstrated an arteriotomy
suitable for closure device. A 6 French Perclose was
deployed with adequate achieving hemostasis.

Need help! Selective stent non lower extremity