The patient was taken to the vascular hybrid theatre where the vascular surgical team performed a left brachial cutdown and 7Fr sheath direct puncture and left groin USS guided 5Fr CFA puncture.
Angiogram shows a blush from the subclavian/axillary artery junction. A self-expanding covered stent was deployed successfully. Branches of the subclavian artery are still patent proximally including internal mammary and vertebral arteries.