Fig. 1.

A 64-year-old male patient presented with dizziness and left arm weakness. He had history of laryngeal cancer which was operated and radiated 12 years ago.

A. Angiogram obtained through both catheters introduced via the trans-femoral and trans-brachial routes reveals the occluded left subclavian artery.

B. The protective device is trapped in the stent strut while deploying the stent via the same trans-brachial route and is retrieved by 4 F Davis angiocatheter.

C. The final angiogram reveals good patency of the recanalized SCA. Note good antegrade flow in the vertebral artery and mild spasm at the vertebral artery ostium.