“…The 2011 guidelines published by ESC and endorsed by ACCF/AFA recommend Percutaneous transluminal balloon angioplasty as a first line treatment for SAS [5] . There is very scant literature discussing the role of subclavian atherectomy in patients with CABG [ 6 , 7 ]. Atherectomy devices have been routinely used for debulking plaques in peripheral artery disease.…”