Angioplasty and stenting for total symptomatic atherosclerotic occlusion of the subclavian or innominate arteries

被引：29

作者：

González, A

Gil-Peralta, A

González-Marcos, JR

Mayol, A

机构：

[1] Virgen del Rocio Univ Hosp, Dept Radiol, Div Intervent Neuroradiol, Seville, Spain

[2] Virgen del Rocio Univ Hosp, Dept Neurol, Stroke Unit, Seville, Spain

来源：

CEREBROVASCULAR DISEASES | 2002年 / 13卷 / 02期

关键词：

subclavian artery occlusion; innominate artery occlusion; subclavian steal syndrome; stenting; transluminal angioplasty; interventional therapy;

D O I：

10.1159/000047759

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Bypass grafting is considered the treatment of choice for occlusions of supraaortic vessels. Percutaneous transluminal angioplasty (PTA) is a well-established treatment for patients with subclavian stenosis, but its efficacy in total subclavian or innominate occlusions is so far not well established. Since 1995, we have carried out 9 PTA revascularizations in 9 patients with total symptomatic atherosclerotic occlusion of supraaortic vessels. The technical success rate was 100%, without any major (death or stroke) or minor complications. In the follow-up period (mean 37.4 months), 1 patient had a symptomatic left internal carotid artery occlusion and an asymptomatic occlusion of the treated subclavian artery. In expert hands, stenting-PTA should be considered as the primary therapeutic option. Copyright (C) 2002 S. Karger AG, Basel.

引用

页码：107 / 113

页数：7