Long-term results of primary stenting for subclavian artery disease

2013 ◽  
Vol 82 (5) ◽  
pp. 696-700 ◽  
Author(s):  
Akihiro Higashimori ◽  
Nobuyuki Morioka ◽  
Shinnji Shiotani ◽  
Masahiko Fujihara ◽  
Keisuke Fukuda ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Long Term Results ◽  
Primary Stenting ◽  
Artery Disease

scholarly journals Transposition of Subclavian Artery – Is It the Appropriate Choice?

PRILOZI ◽  
2017 ◽  
Vol 38 (1) ◽  
pp. 47-51
Author(s):  
Nikola Lazovski ◽  
Sasko Jovev ◽  
Dusan Babic ◽  
Srdjan Babic ◽  
Omer Dzemali
Keyword(s):  
Surgical Treatment ◽  
Treatment Failure ◽  
Endovascular Treatment ◽  
Subclavian Artery ◽  
Artery Occlusion ◽  
Long Term Results ◽  
Duplex Scan ◽  
Subclavian Artery Occlusion ◽  
Artery Disease

Abstract Introduction: To present patients with symptomatic subclavian artery disease and treatment possibility. Case report: A 53-year-old female was admitted with vertigo and left arm claudication. Duplex-scan and MSCT arteriography verified subclavian artery occlusion. After the endovascular treatment failure, the patient was switched to surgical treatment - subclavian artery transposition. After the successful surgical treatment, the patient was discharged on the second postoperative day. If the patient is a candidate for surgery, the literature review shows good initial and long-term results after the subclavian artery transposition, and emphasizes this technique as superior. Conclusion: Subclavian carotid transposition is a safe and effective method of treatment in patients after endovascular treatment failure or other indication. Also, the surgical treatment is technically demanding because of the difficult access to the vessel origin, and it requires experienced surgeons.

Two Cases of Popliteal Cystic Adventitial Disease Treated with Primary Stenting: Long-Term Results

2020 ◽  
Vol 63 ◽  
pp. 460.e1-460.e4
Author(s):  
Renato A. Mertens ◽  
Michel Bergoeing ◽  
Leopoldo Mariné ◽  
Francisco Vargas ◽  
Ignacio Torrealba ◽  
...  
Keyword(s):  
Long Term Results ◽  
Primary Stenting

scholarly journals Retrograde Pedal Access—Cutting Edge or Comical?

2018 ◽  
Vol 52 (8) ◽  
pp. 593-595
Author(s):  
Anahita Dua ◽  
Venita Chandra
Keyword(s):  
Controlled Trial ◽  
Long Term Results ◽  
Peripheral Artery ◽  
Randomized Controlled ◽  
Antegrade Approach ◽  
Pros And Cons ◽  
Controversial Topic ◽  
Potential Risks ◽  
Artery Disease

Retrograde pedal access is a technique utilized with increasing frequency by many interventionists to address patients with advanced multilevel peripheral artery disease and significant comorbidities. This approach to revascularization is being used both in patients who fail traditional antegrade access and in some patients thought to be poor candidates for antegrade approach. However, the lack of randomized controlled trial data, or long-term results, coupled with the associated potential risks including dissection, spasm, and thrombosis have rendered retrograde pedal access a controversial topic. This article details the pros and cons associated with the debate surrounding retrograde pedal access and highlights the current literature and remaining questions regarding outcomes of this technique.

Elective and Emergent Endovascular Treatment of Subclavian Artery Aneurysms and Injuries

2003 ◽  
Vol 10 (1) ◽  
pp. 58-65 ◽  
Author(s):  
Maria Schoder ◽  
Manfred Cejna ◽  
Thomas Hölzenbein ◽  
Georg Bischof ◽  
Fritz Lomoschitz ◽  
...  
Keyword(s):  
Stent Graft ◽  
Subclavian Artery ◽  
Artery Aneurysm ◽  
Graft Patency ◽  
Long Term Results ◽  
Stent Grafts ◽  
Central Venous ◽  
Luminal Narrowing

Purpose: To demonstrate our short and long-term results after transbrachial treatment of subclavian artery aneurysms and injuries with stent-grafts in elective and emergency settings. Methods: Ten of 12 consecutive patients (6 men; mean age 63.8 years, range 38–80) were treated electively with commercially prepared endografts delivered via a transbrachial access to repair a subclavian artery aneurysm (n = 3) or an injury from a misplaced central venous catheter (n = 7). Two patients required emergency treatment for a ruptured atherosclerotic aneurysm in one and an unintentional arterial puncture during placement of a central venous access in the other. Stent-graft patency during follow-up was assessed by physical examination with comparison of brachial blood pressures in all patients; computed tomography angiography (CTA) was performed in available patients. Results: Successful deployment of stent-grafts with sealing of the lesion was achieved in all cases. There were 2 (17%) procedural complications. One patient developed an access-site hematoma that required surgical revision. The second patient, who had a right subclavian injury, suffered an embolic cerebral infarction. The primary stent-graft patency during follow-up (mean 11.6 months) was 100%. CTA examinations in 7 patients at a mean 18 months showed strut dislocation at the thoracic outlet without luminal narrowing in 1 patient. A 50% intraluminal narrowing due to compression between the clavicle and the first rib occurred in another patient. Six patients with a mean follow-up of 23 months (range 0.3–4.5 years) are still alive with patent stent-grafts. Conclusions: Endovascular stent-graft treatment of subclavian artery aneurysms and injuries is a less invasive alternative to surgical repair. Long-term results must still be confirmed in further studies.

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