Management of the Left Subclavian Artery during TEVAR

被引：91

作者：

Feezor, Robert J. ^{[1
]}

Lee, W. Anthony ^{[1
]}

机构：

[1] Univ Florida, Div Vasc Surg & Endovasc Therapy, Gainesville, FL 32610 USA

来源：

SEMINARS IN VASCULAR SURGERY | 2009年 / 22卷 / 03期

关键词：

ENDOVASCULAR AORTIC REPAIR; STENT-GRAFT; ENDOLUMINAL REPAIR; THORACIC AORTA; RISK-FACTORS; COVERAGE; PATHOLOGY; OCCLUSION; REVASCULARIZATION; TRANSPOSITION;

D O I：

10.1053/j.semvascsurg.2009.07.007

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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. Semin Vasc Surg 22:159-164 (C) 2009 Elsevier Inc. All rights reserved.

引用

页码：159 / 164

页数：6

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