Document Detail

Angioplasty of the innominate artery in 89 patients: experience over 19 years.
MedLine Citation:
PMID:  11901427     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To assess retrospectively the success of percutaneous transluminal angioplasty (PTA) in treating innominate artery stenoses and occlusions in a large series of patients with long-term follow-up results. METHODS: In symptomatic (upper limb claudication, transient ischemic attack, vertebrobasilar insufficiency) patients with high-degree (>60%) stenosis, innominate artery PTA was performed. Long-term follow-up was undertaken by blood pressure measurements on both arms as well as subclavian, right common carotid and right vertebral duplex scan. RESULTS: Between 1981 and 1999, the primary success rate of 89 innominate artery PTA (84 stenoses, 5 occlusions) was 96.4%. Complications included one left occipital lobe infarction (2%), two puncture-site thromboses (3%) and four transient ischemic attacks (6%). Two patients with restenosis were successfully treated with re-PTA. Cumulative primary patency was 98 +/- 2% at 6 months, 93 +/- 4% at 16-117 months; secondary patency was 100% at 6 months, 98 +/- 2% at 12-117 months. Sixty-one percent of the patients became symptomless, 32% improved, 7% showed no improvement. CONCLUSION: Angioplasty of the innominate artery has been proven to be safe and effective on a large series of patients. For innominate artery stenosis and short occlusion, PTA should be the treatment of choice.
Kálmán Hüttl; Balázs Nemes; Arpád Simonffy; László Entz; Viktor Bérczi
Related Documents :
21892397 - Clinical features of acute subdural hematomas caused by ruptured intracranial aneurysms.
20458587 - Pta of infrapopliteal arteries: long-term clinical follow-up and analysis of factors in...
2955017 - Complications associated with the guide wire in percutaneous transluminal coronary angi...
1742777 - Double wire technique for additional guiding catheter support in anomalous left circumf...
15209557 - Dissection of intima on atrial septum patch after mitral valve replacement in a patient...
1803887 - Pituitary adenomas with parasellar invasion.
Publication Detail:
Type:  Journal Article     Date:  2002-01-17
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  25     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2002 Mar-Apr
Date Detail:
Created Date:  2002-03-19     Completed Date:  2002-05-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  109-14     Citation Subset:  IM    
Section of Radiology, Department of Cardiovascular Surgery, Semmelweis University, H-1122 Budapest, Városmajor u. 68, Hungary.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Angioplasty, Balloon / methods*
Arterial Occlusive Diseases / radiography*,  therapy*
Brachiocephalic Trunk / radiography,  surgery*
Follow-Up Studies
Middle Aged
Retrospective Studies
Treatment Outcome
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Gene therapy techniques for peripheral arterial disease.
Next Document:  Human thrombin injection for the percutaneous treatment of iatrogenic pseudoaneurysms.