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Surgery success rates for subclavian steal syndrom

Wuqiang Che, Hui Dong, Xiongjing Jiang, Meng Peng, Yubao Zou, Lei Song, Huimin Zhang, Yuejin Yang, Runlin Gao
OBJECTIVES: To evaluate the safety and feasibility of subclavian artery stenting for coronary-subclavian steal syndrome (CSSS). BACKGROUND: CSSS is a rare cause of myocardial ischemia due to ipsilateral subclavian artery stenosis in patients who have undergone coronary artery bypass graft. However, current knowledge of the optimal therapy for CSSS is limited. METHODS: The clinical data of 37 patients (33 male; mean age 65 ± 6 years) with CSSS who had undergone subclavian artery stenting between April 2007 and December 2015 were analyzed...
March 2017: Catheterization and Cardiovascular Interventions
Akihiro Higashimori, Nobuyuki Morioka, Shinnji Shiotani, Masahiko Fujihara, Keisuke Fukuda, Yoshiaki Yokoi
OBJECTIVES: To evaluate initial and long-term results of endovascular therapy (EVT) for symptomatic subclavian artery (SCA) disease. BACKGROUND: EVT for SCA disease has a similar success rate as open surgery, but the long-term patency of EVT alone is uncertain. METHODS: We retrospectively studied 59 consecutive patients (42 males and 17 females) with 60 lesions. Mean patient age was 68 ± 10 years. Clinical symptoms were vertebrobasilar insufficiency in 21 patients (35...
November 1, 2013: Catheterization and Cardiovascular Interventions
Saurav Chatterjee, Nishant Nerella, Saneka Chakravarty, Jacob Shani
Subclavian artery stenosis has long been treated with great success with bypass surgery. Percutaneous intervention, often used in combination with stent placement, has come into vogue for the past few years as a safe and effective therapeutic modality. This study aimed to compare angioplasty alone with angioplasty followed by stent placement by combining available data. The objective of this study was to perform a review of the available literature to compare the efficacy of percutaneous transluminal angioplasty (PTA) alone with PTA followed by stent placement for proximal subclavian artery stenosis...
September 2013: American Journal of Therapeutics
Srdjan Babic, Dragan Sagic, Djordje Radak, Zelimir Antonic, Petar Otasevic, Vladimir Kovacevic, Slobodan Tanaskovic, Dusan Ruzicic, Nikola Aleksic, Goran Vucurevic
PURPOSE: To study the initial and long-term results of angioplasty and primary stenting for the treatment of chronic total occlusion (CTO) of the subclavian artery (SA). MATERIALS AND METHODS: From January 1999 to February 2010, 56 patients (25 men with a mean age of 58 ± 8 years) underwent endovascular treatment for CTO of the SA. Duplex scans and arteriograms confirmed occlusion in all cases. Indications for recanalization were subclavian steal syndrome in 33 patients (58...
April 2012: Cardiovascular and Interventional Radiology
Lixing Qi, Yongquan Gu, Jian Zhang, Hengxi Yu, Xuefeng Li, Lianrui Guo, Bing Chen, Shijun Cui, Yingfeng Wu, Yixia Qi, Shengjia Yang, Jianming Guo, Zhonggao Wang
OBJECTIVE: To explore the effective surgical approaches in treating subclavian artery occlusion. METHODS: Between December 2005 and February 2010, 53 patients with subclavian artery occlusion were treated, including left subclavian artery occlusion (35 cases) and stenosis (5 cases), right subclavian artery occlusion (5 cases) and stenosis (4 cases), and bilateral subclavian artery occlusion (4 cases). There were 40 males and 13 females with an average age of 64 years (range, 22-77 years), including 49 cases of arteriosclerosis obliterans and 4 cases of aortic arteritis...
September 2010: Chinese Journal of Reparative and Reconstructive Surgery
Andreas P Chemelli, Franz Wiedermann, Josef Klocker, Juergen Falkensammer, Alexander Strasak, Benedikt V Czermak, Peter Waldenberger, Iris E Chemelli-Steinguber
PURPOSE: To retrospectively review a 9-year experience with endovascular management of inadvertent subclavian artery catheterization during subclavian vein cannulation. MATERIALS AND METHODS: From June 2000 through July 2009 (109 months), 13 patients underwent endovascular management of inadvertent subclavian artery catheterization. All catheters were still in situ, including one 7-F catheter, six 8-F catheters, and six large-bore 10-11-F catheters. Treatment was performed with an Angio-Seal device (n = 6) or balloon catheters (n = 7) and by additional stent-graft placement (n = 4)...
April 2010: Journal of Vascular and Interventional Radiology: JVIR
Andrew M Bakken, Eugene Palchik, Wael E Saad, Joseph P Hart, Michael J Singh, Jeffrey M Rhodes, David L Waldman, Mark G Davies
While aggressive endoluminal therapy for occlusive disease of the major branches of the arch of the aorta (brachiocephalic [BCA], left common carotid [LCCA], and left subclavian [LSCA] arteries) is commonplace, long-term outcomes in this population are unclear. We examined the long-term outcomes of endoluminal therapy for ostial aortic arch disease at a single tertiary referral academic medical center. A prospective database of patients undergoing endovascular treatment of aortic arch vessel atherosclerotic occlusive disease between 1990 and 2004 was maintained and retrospectively analyzed...
May 2008: Annals of Vascular Surgery
Samir N Patel, Christopher J White, Tyrone J Collins, Gary A Daniel, J Stephen Jenkins, J P Reilly, Rachael F Morris, Stephen R Ramee
OBJECTIVES: We report outcomes in patients undergoing catheter-based intervention for symptomatic subclavian and innominate artery (S/IA) atherosclerosis. BACKGROUND: Symptomatic S/IA obstructive lesions have traditionally been treated with open surgical revascularization. Catheter-based endovascular therapies reduce the morbidity and mortality associated with surgery in many vascular beds. METHODS: Between December 1993 and May 2006, 170 patients underwent primary stent placement in 177 S/IA arteries...
June 1, 2008: Catheterization and Cardiovascular Interventions
M Henry, I Henry, A Polydorou, Ad Polydorou, M Hugel
AIM: The aim of this study was to review the feasibility, safety and long-term results of subclavian artery (SA) angioplasty. METHODS: Over 14 years, 237 patients (males: 135; mean age: 64+/-12 years) underwent percutaneous treatment for SA occlusive disease. Indications for treatment were upper limb ischemia (n=125), vertebrobasilar insufficiency (n=128), coronary steal (n=11) and anticipated coronary bypass surgery in asymptomatic patients (n=26). A total of 192 arteries were stenosed and 45 occluded...
December 2007: International Angiology: a Journal of the International Union of Angiology
Jean-Paul P M De Vries, L Cara Jager, Jos C Van den Berg, Tim Th C Overtoom, Rob G A Ackerstaff, Eric D W M Van de Pavoordt, Frans L Moll
PURPOSE: Percutaneous transluminal angioplasty (PTA) is one of the treatment options for localized obstruction of the subclavian artery. To document long-term durability of this kind of PTA we report a 10-year single-center experience in 110 patients. METHODS: From January 1993 to July 2003, 110 patients (72 women; mean age, 62 +/- 10 years) underwent PTA of symptomatic (>75%) stenosis (n = 90) or occlusion of the proximal subclavian artery (84 left-sided). Forty one patients (37%) had symptoms of vertebrobasilar insufficiency, 29 patients (26%) had disabling chronic arm ischemia, and 20 patients had both symptoms...
January 2005: Journal of Vascular Surgery
J Fritz Angle, Alan H Matsumoto, J Kevin McGraw, David J Spinosa, Klaus D Hagspiel, Daniel A Leung, Curtis G Tribble
The authors report their experience with percutaneous transluminal angioplasty (PTA) and stenting of the left subclavian artery (LSA) in patients with recurrent angina and a left internal mammary (LIMA)-coronary bypass graft or in patients who will be undergoing LIMA-coronary artery bypass grafting. From November 1990 to February 2001, 21 patients (11 men and 10 women) with significant left subclavian artery stenosis were treated; 18 patients had a prior LIMA bypass graft, and 3 patients were treated before coronary artery bypass surgery...
March 2003: Vascular and Endovascular Surgery
M Körner, I Baumgartner, D D Do, F Mahler, G Schroth
BACKGROUND: To investigate the long-term clinical and duplex sonographic results of percutaneous transluminal angioplasty (PTA) of the subclavian and innominate arteries, and the potential of a new double balloon technique to avoid cerebrovascular thromboembolism. PATIENTS AND METHODS: Forty-three PTAs were performed on 38 subclavian, four innominate arteries and one subclavian-subclavian bypass in 37 patients. In three instances a protective double balloon technique was used...
May 1999: VASA. Zeitschrift Für Gefässkrankheiten
M Henry, M Amor, I Henry, G Ethevenot, K Tzvetanov, Z Chati
PURPOSE: To review the feasibility, risks, and long-term results of subclavian artery angioplasty with and without Palmaz stent placement. METHODS: Over a 9-year period, 113 patients (67 males; mean age 63 +/- 13 years) underwent percutaneous balloon angioplasty of subclavian occlusive lesions for a variety of indications: vertebrobasilar insufficiency (n = 70), upper limb ischemia (n = 50), coronary steal syndrome (n = 6), or anticipated coronary artery bypass grafting using the internal mammary artery in 12 asymptomatic patients...
February 1999: Journal of Endovascular Surgery: the Official Journal of the International Society for Endovascular Surgery
G Schroth, D D Do, L Remonda, R Baumgartner, P Stirnemann, N Godoy
PURPOSE: Description of special techniques for retrograde angioplasty of cerebral arteries with protection of the brain. MATERIAL AND METHOD: During the last 3 years, 51 dilatations of cerebral vessels were carried out in 45 patients; in 8, special techniques were required. In cases with particular operative risks, angioplasty of cerebral vessels can be performed using various techniques (double catheter [8 cases], retrograde PTA [8 cases], kissing balloon technique [3 cases])...
August 1997: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
A Millaire, M Trinca, P Marache, P de Groote, J L Jabinet, G Ducloux
In order to assess the therapeutic outcome of percutaneous transluminal angioplasty for subclavian stenosis, 50 patients were followed up clinically as well as with a velocimetric Doppler after attempted angioplasty. A minimal clinical follow-up of 9 months was expected. Subclavian stenoses were due to atheroma in 49 patients and to Takayasu's disease in 1 case. Indication of angioplasty was curative in 34 (68%) symptomatic patients (posterior fossa ischemia and/or upper limb ischemia) and preventive in 16 (32%) asymptomatic patients (severe difference of blood pressure between the 2 arms and/or association with carotid stenosis or axillo-femoral bypass)...
May 1993: Catheterization and Cardiovascular Diagnosis
A Motarjeme, G I Gordon
Angioplasty of the brachiocephalic vessels has been utilized in the treatment of stenotic/occlusive lesions for the past twelve years. The guidelines for use of PTA therapy versus surgery, however, have not been well defined. Multiple pathologies and morphologies for the various lesions have been described. The location of the lesion on the brachiocephalic chain plays a role. In our study of 131 brachiocephalic vessels (66 subclavian, 3 axillary, 3 brachial, 35 vertebral, 9 innominate, 6 common carotid, 7 internal carotid and 2 external carotid), we successfully dilated 93% (122/131) of all vessel stenoses/occlusions...
September 1993: International Angiology: a Journal of the International Union of Angiology
K Mathias, S Bockenheimer, G von Reutern, H W Heiss, W Ostheim-Dzerowycz
Stenoses of the extracranial cerebral arteries can be successfully treated with percutaneous transluminal dilatation (PTD). Early and late results of PTD are comparable to those of vascular surgery, but are not accompanied by its morbidity and mortality rates. In 32 patients with subclavian steal syndrome PTD showed a technical success rate of 88% and a clinical cure rate of 72%. The fibrodysplastic carotid artery stenosis is well suited for PTD. These lesions often extend to the skull base causing difficulties for surgical correction...
May 1983: Der Radiologe
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