Long-Term Results of 81 Prevertebral Subclavian Artery Angioplasties: A 26-Year Experience

2011 ◽  
Vol 25 (8) ◽  
pp. 1043-1049 ◽  
Author(s):  
Ludovic Berger ◽  
Zacharie Bouziane ◽  
Aurélien Felisaz ◽  
Olivier Coffin ◽  
Audrey Dugue ◽  
...  
2003 ◽  
Vol 10 (1) ◽  
pp. 58-65 ◽  
Author(s):  
Maria Schoder ◽  
Manfred Cejna ◽  
Thomas Hölzenbein ◽  
Georg Bischof ◽  
Fritz Lomoschitz ◽  
...  

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.


2011 ◽  
Vol 35 (2) ◽  
pp. 255-262 ◽  
Author(s):  
Srdjan Babic ◽  
Dragan Sagic ◽  
Djordje Radak ◽  
Zelimir Antonic ◽  
Petar Otasevic ◽  
...  

1997 ◽  
Vol 25 (1) ◽  
pp. 173-178 ◽  
Author(s):  
John B. Chang ◽  
Theodore A. Stein ◽  
Julie P. Liu ◽  
Mary Ellen Dunn

PRILOZI ◽  
2017 ◽  
Vol 38 (1) ◽  
pp. 47-51
Author(s):  
Nikola Lazovski ◽  
Sasko Jovev ◽  
Dusan Babic ◽  
Srdjan Babic ◽  
Omer Dzemali

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.


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