Chronic Total Occlusions (CTOs) of coronary arteries are challenging cases of interventional procedures and require improved techniques and experties. CART technique is one of those novel techniques that facilitates the recanalization of CTOs by aggressive wire manipulation from both ends of the lesions [1]. It may be feasible using this novel technique in noncoronary challenging occlusions. In so far as we know there is not much use of CART technique in noncoronary occlusions. We present a case about successful recanalization of a subclavian artery occlusion using CART technique in a patient with CABG operation.A 67 year-old woman was admitted to our hospital with the complaint of pain of the left arm She had a history of CABG operation 6 years ago and hypertension. On physical examination right arm blood pressure was 150/90 mmHg and left arm pressure was 110/70 mmHg. There was no spesific ST-T changes on electrocardiography. No laboratory abnormality was found. Myocardial perfusion scintigraphy was performed and showed apical ischemia.

Jung Kilicgedik A, Sahin M, Karabay CY, Kirma C (2014) Using “Cart” (Controlled Antegrade and Retrograde Sub-intimal Tracking) Technique for Recanalization of a Sub-clavian Artery Occlusion. Angiol 2:124. 

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