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Results of endovascular therapy of the subclavian and innominate arteries in 63 patients

Åkesson, M. ; Gottsäter, A. LU and Alhadad, A. LU (2013) In Gazzetta Medica Italiana Archivio per le Scienze Mediche 172(1-2). p.1-9
Abstract

Aim. The aim of the study was to describe results from a single vascular unit of endovascular revascularisation of subclavian and innominate arterial disease. Methods. Between April 1994 and March 2010, 63 patients (mean age 61.8±10.8 years, 41[65%] women) were endovascularly treated for subclavian and innominate arterial disease. Fourteen (22%) had upper extremity claudication, 5 (8%) acute arm ischemia, 6 (10%) subclavian steal syndrome, 18 (29%) both these symptoms, and one had a subclavian aneurysm. Three (5%) had Takayasu's arteritis. Percutaneous transluminal angioplasty (PTA) with stent placement was performed in 55 (87%) patients, and only PTA in the remaining 8 (13%). Follow-up was clinical and with duplex ultrasound, computed... (More)

Aim. The aim of the study was to describe results from a single vascular unit of endovascular revascularisation of subclavian and innominate arterial disease. Methods. Between April 1994 and March 2010, 63 patients (mean age 61.8±10.8 years, 41[65%] women) were endovascularly treated for subclavian and innominate arterial disease. Fourteen (22%) had upper extremity claudication, 5 (8%) acute arm ischemia, 6 (10%) subclavian steal syndrome, 18 (29%) both these symptoms, and one had a subclavian aneurysm. Three (5%) had Takayasu's arteritis. Percutaneous transluminal angioplasty (PTA) with stent placement was performed in 55 (87%) patients, and only PTA in the remaining 8 (13%). Follow-up was clinical and with duplex ultrasound, computed tomography angiography (CTA) or magnetic resonance imaging (MRI) after 3, 6, and 12 months depending on recurrence of clinical symptoms. Results. Technical success was achieved in 63 (100%) patients. Systolic blood pressure difference between the brachial arteries was 74±57 mmHg before and 7±12 mmHg after intervention (P<0.02). Eleven of the 63 patients were lost to follow-up after initial management. The mean follow-up of the remaining 52 (83%) was 513±730 days, median 369 (IQR 70-569) days. Survival rate was 92% at 12 months. Primary patency was 88% at 11±10 months and secondary patency 96%. One patient had restenosis after 13 months and two patients with Takayasu's arteritis had restenosis after 1.5 and 6 months, re spectively. Fatal procedure related complications occurred in two patients. Conclusion. Endovascular therapy is a relatively safe and effective treatment for atherosclerotic disease in the subclavian and innominate arteries.

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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Arterial occlusive diseases, Stents, Subclavian steal syndrome
in
Gazzetta Medica Italiana Archivio per le Scienze Mediche
volume
172
issue
1-2
pages
9 pages
publisher
Edizioni Minerva Medica S.p.A.
external identifiers
  • scopus:84876463984
ISSN
0393-3660
language
English
LU publication?
no
id
f087402e-c6e0-49b9-8659-9920a02e7634
date added to LUP
2020-12-11 14:18:08
date last changed
2022-02-01 18:25:18
@article{f087402e-c6e0-49b9-8659-9920a02e7634,
  abstract     = {{<p>Aim. The aim of the study was to describe results from a single vascular unit of endovascular revascularisation of subclavian and innominate arterial disease. Methods. Between April 1994 and March 2010, 63 patients (mean age 61.8±10.8 years, 41[65%] women) were endovascularly treated for subclavian and innominate arterial disease. Fourteen (22%) had upper extremity claudication, 5 (8%) acute arm ischemia, 6 (10%) subclavian steal syndrome, 18 (29%) both these symptoms, and one had a subclavian aneurysm. Three (5%) had Takayasu's arteritis. Percutaneous transluminal angioplasty (PTA) with stent placement was performed in 55 (87%) patients, and only PTA in the remaining 8 (13%). Follow-up was clinical and with duplex ultrasound, computed tomography angiography (CTA) or magnetic resonance imaging (MRI) after 3, 6, and 12 months depending on recurrence of clinical symptoms. Results. Technical success was achieved in 63 (100%) patients. Systolic blood pressure difference between the brachial arteries was 74±57 mmHg before and 7±12 mmHg after intervention (P&lt;0.02). Eleven of the 63 patients were lost to follow-up after initial management. The mean follow-up of the remaining 52 (83%) was 513±730 days, median 369 (IQR 70-569) days. Survival rate was 92% at 12 months. Primary patency was 88% at 11±10 months and secondary patency 96%. One patient had restenosis after 13 months and two patients with Takayasu's arteritis had restenosis after 1.5 and 6 months, re spectively. Fatal procedure related complications occurred in two patients. Conclusion. Endovascular therapy is a relatively safe and effective treatment for atherosclerotic disease in the subclavian and innominate arteries.</p>}},
  author       = {{Åkesson, M. and Gottsäter, A. and Alhadad, A.}},
  issn         = {{0393-3660}},
  keywords     = {{Arterial occlusive diseases; Stents; Subclavian steal syndrome}},
  language     = {{eng}},
  number       = {{1-2}},
  pages        = {{1--9}},
  publisher    = {{Edizioni Minerva Medica S.p.A.}},
  series       = {{Gazzetta Medica Italiana Archivio per le Scienze Mediche}},
  title        = {{Results of endovascular therapy of the subclavian and innominate arteries in 63 patients}},
  volume       = {{172}},
  year         = {{2013}},
}