| Percutaneous endovascular treatment of innominate artery lesions: a single-centre experience on 77 lesions. | |
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MedLine Citation:
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PMID: 20435490 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To assess primary success and safety of percutaneous transluminal angioplasty and/or stenting of innominate artery lesions and to compare its 30-day stroke/mortality level with the literature data. METHODS: A total of 72 patients (77 stenoses, five recurrent, 58 symptomatic and 39 female) with seven innominate vessel occlusions, nine subocclusive lesions and 61 significant (>60%) stenoses of innominate artery treated between 2000 and 2009 were retrospectively reviewed. With the exception of seven, all procedures were performed using a transfemoral approach. A stent was implanted in 49 (63.6%) cases. Follow-up included neurological examination, carotid duplex scan and office/telephone interview. RESULTS: Primary technical success was 93.5% (72/77). There was neither periprocedural (<48 h) death, nor major neurological complication. Minor periprocedural neurological complications consisted of 2/72 (2.6%) ipsilateral TIAs. Access site complications included 4 (5.2%) access site bleedings. Follow-up was achieved in 65/72 (90.3%) of all patients and 68 (88.3%) of all procedures for a mean of 42.3 months and revealed neither major neurological complication, nor additional TIA. The cumulative primary patency rate was 100% at 12 months, 98+/-1.6% at 24 months, and 69.9+/-8.5% at 96 months. The cumulative secondary patency rate was 100% at 12 and at 24 months, and 81.5+/-7.7% at 96 months. Log-rank test showed no significant difference (p=0.79) in primary cumulative patencies between PTA alone (n=28) or PTA/stent (n=49). CONCLUSION: Transfemoral PTA with or without stent appears to be a safe treatment option for innominate artery lesions. |
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Authors:
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T M Paukovits; L Lukács; V Bérczi; K Hirschberg; B Nemes; K Hüttl |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 40 ISSN: 1532-2165 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-06 Completed Date: 2010-08-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
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Languages: eng Pagination: 35-43 Citation Subset: IM |
Copyright Information:
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Copyright 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Heart Center, Faculty of Medicine, Semmelweis University, 1122 Gaal Jozsef Street 9, Budapest, Hungary. tomirko@t-online.hu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angioplasty, Balloon* / adverse effects, instrumentation, mortality Arterial Occlusive Diseases / diagnosis, mortality, physiopathology, therapy* Brachiocephalic Trunk* / physiopathology, radiography, ultrasonography Constriction, Pathologic Female Humans Hungary Kaplan-Meiers Estimate Male Middle Aged Neurologic Examination Retrospective Studies Risk Assessment Risk Factors Stents Stroke / etiology Time Factors Treatment Outcome Ultrasonography, Doppler, Duplex Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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