Document Detail


Management of the left subclavian artery during TEVAR.
MedLine Citation:
PMID:  19765526     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The proximity of thoracic aortic pathologies to the left subclavian artery has occasionally required intentional coverage of this vessel. With increased collective experience with thoracic endovascular techniques, indications for revascularization in this setting have evolved. Coverage of the left subclavian artery without revascularization has been associated with left arm claudication, spinal cord ischemia, posterior circulation strokes, and, in certain instances, myocardial ischemia. The occurrence of these events has not been uniform and, in some patients, the left subclavian artery can be covered without significant clinical sequelae. In this review, we discuss the incidence of these complications, their risk factors, and indications for elective revascularization of the left subclavian artery during thoracic endovascular aortic repair.
Authors:
Robert J Feezor; W Anthony Lee
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in vascular surgery     Volume:  22     ISSN:  1558-4518     ISO Abbreviation:  Semin Vasc Surg     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-09-21     Completed Date:  2009-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809602     Medline TA:  Semin Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  159-64     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery and Endovascular Therapy, University of Florida, Gainesville, FL 32610-0286, USA.
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MeSH Terms
Descriptor/Qualifier:
Aorta, Thoracic / pathology,  surgery*
Aortic Diseases / pathology,  surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / adverse effects,  instrumentation,  methods*
Humans
Patient Selection
Prosthesis Design
Risk Assessment
Risk Factors
Stents
Subclavian Artery / surgery*
Treatment Outcome

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


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