Intentional Left Subclavian Artery Occlusion by Thoracic Aortic Stent-Grafts Without Surgical Transposition

2001 ◽  
Vol 8 (5) ◽  
pp. 472-476 ◽  
Author(s):  
Klaus A. Hausegger ◽  
Peter Oberwalder ◽  
Kurt Tiesenhausen ◽  
Josef Tauss ◽  
Olaf Stanger ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Artery Occlusion ◽  
Stent Grafts ◽  
Subclavian Artery Occlusion

Intentional Left Subclavian Artery Occlusion by Thoracic Aortic Stent-Grafts without Surgical Transposition

2001 ◽  
Vol 8 (5) ◽  
pp. 472-476 ◽  
Author(s):  
Klaus A. Hausegger ◽  
Peter Oberwalder ◽  
Kurt Tiesenhausen ◽  
Josef Tauss ◽  
Olaf Stanger ◽  
...  
Keyword(s):  
Stent Graft ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Case Reports ◽  
Artery Occlusion ◽  
Left Vertebral Artery ◽  
Stent Grafts ◽  
Subclavian Artery Occlusion ◽  
Limited Experience ◽  
Type B Dissection

Purpose: To report the consequences of endoluminal deployment of stent-grafts in the thoracic aorta with intentional occlusion of the left subclavian artery. Case Reports: Three patients with an aortic type-B dissection and 1 with a thoracic aneurysm were treated endoluminally with Talent stent-grafts implanted over the ostium of the left subclavian artery without prior surgical subclavian-carotid transposition. The primary intimal tears were sealed and the degenerative aneurysm excluded; blood pressure in the left arm was significantly diminished immediately after the stent-graft was released, but adequate collateral retrograde perfusion via the left vertebral artery was apparent in all patients. No neurological deficit and no symptoms of left arm ischemia were observed in a follow-up that ranged from 14 to 20 months. Conclusions: Our limited experience shows that occlusion of the left subclavian artery with a stent-graft is well tolerated. If ischemic symptoms occur, a transposition procedure can be performed on an elective basis.

scholarly journals Acute Basilar Artery Occlusion in a Patient With Left Subclavian Artery Occlusion Due to First Rib Anomaly

2008 ◽  
Vol 48 (8) ◽  
pp. 355-358 ◽  
Author(s):  
Rei YAMAGUCHI ◽  
Hideaki KOHGA ◽  
Minori KUROSAKI ◽  
Masaru TAMURA ◽  
Soukichi TANAKA ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Basilar Artery ◽  
Left Subclavian Artery ◽  
Artery Occlusion ◽  
Basilar Artery Occlusion ◽  
First Rib ◽  
Subclavian Artery Occlusion

Chetham-platinum-covered stent, aortic coarctation, and left subclavian artery: sometimes is there one too many?

2019 ◽  
Vol 29 (10) ◽  
pp. 1302-1304
Author(s):  
Vincenzo Tufaro ◽  
Gianfranco Butera
Keyword(s):  
Subclavian Artery ◽  
Balloon Angioplasty ◽  
Aortic Coarctation ◽  
Left Subclavian Artery ◽  
Percutaneous Treatment ◽  
Artery Occlusion ◽  
Covered Stent ◽  
Stent Deployment ◽  
New Approach ◽  
Subclavian Artery Occlusion

AbstractA new approach was used in the percutaneous treatment of two patients with severe recoarctation involving the origin of the left subclavian artery. A tiny handmade fenestration was created in a NuMED-covered Cheatham-platinum stent before its implantation to avoid left subclavian artery occlusion. The stent placement was performed using a two-guidewire technique in which the different stiffness helped a proper positioning of the stent. After the stent deployment, the fenestration was enlarged performing a balloon angioplasty to improve flow in left subclavian artery.

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