Document Detail


Long term outcome after balloon angioplasty and stenting of subclavian artery obstruction: a single centre experience.
MedLine Citation:
PMID:  18622968     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Percutaneous transluminal angioplasty is an accepted and successful treatment strategy in obstructive disease of the subclavian artery. The purpose of this study was to evaluate the technical and clinical long-term outcome following endovascular therapy.
PATIENTS AND METHODS: We retrospectively analyzed 99 patients (mean age of 65 +/- 10 years) with 100 interventions of the subclavian arteries and the brachiocephalic trunk with different aetiologies [atherosclerosis (90%); Takayasu's arteritis (5%); thromboembolism (2%); external compression (1%); iatrogenic dissection (1%) and occlusion after graft implantation in type B dissection (1%)].
RESULTS: Primary success rate was 97% (100% for stenoses and 90% for total occlusions). Treatment modalities included balloon angioplasty (PTA) alone (16%), stent implantation (78%), rotational thrombectomy (2%) and atherectomy (1%). The primary 1-year patency rate of the whole study cohort was 87% being not significantly lower after PTA (75%) compared to stent assisted angioplasty (89%). After thrombectomy and atherectomy no relevant restenosis were found. Multivariable analysis of 1-year restenosis-free survival revealed younger age (p = 0.03) and stenting (p = 0.04) as independent predictor. The blood pressure difference between both limbs at baseline was 42 +/- 24 mmHg and dropped to 10 +/- 14 mmHg after the intervention and 15 +/- 20 mmHg after 12 months, respectively (p = 0.01).
CONCLUSIONS: Endovascular therapy of subclavian artery obstructions of various aetiologies offers good acute success rates even in total occlusions. Long-term patency rate is in favour of stent placement.
Authors:
S Sixt; A Rastan; U Schwarzwälder; T Schwarz; E Norry; U Frank; C Müller; U Beschorner; K Bürgelin; T Nazary; K Hauswald; M Hauk; F-J Neumann; T Zeller
Related Documents :
10876208 - Atheroemboli to the brain: size threshold for causing acute neuronal cell death.
9184678 - Hemodialysis access graft stenosis: percutaneous transluminal angioplasty.
20671638 - Mechanical thrombectomy in in-stent restenosis: preliminary experience at the iliac and...
23238848 - Complaints of micturition, defecation and sexual function in cauda equina syndrome due ...
20368858 - Evaluation of cosmetic appearance of herniotomy wound scars in african children: compar...
8039468 - Lamotrigine: a review of antiepileptic efficacy.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  VASA. Zeitschrift für Gefässkrankheiten     Volume:  37     ISSN:  0301-1526     ISO Abbreviation:  VASA     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-07-14     Completed Date:  2008-08-22     Revised Date:  2012-10-19    
Medline Journal Info:
Nlm Unique ID:  0317051     Medline TA:  Vasa     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  174-82     Citation Subset:  IM    
Affiliation:
Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany. sebastian.sixt@herzzentrum.de
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Balloon / methods*
Blood Vessel Prosthesis*
Cohort Studies
Female
Humans
Longitudinal Studies
Male
Middle Aged
Retrospective Studies
Stents*
Subclavian Steal Syndrome / surgery*
Treatment Outcome

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


Previous Document:  Balloon sclerotherapy: a new method for the treatment of truncal varicose veins.
Next Document:  [Ascending aortic and pulmonary trunk aneurysms].