Endovascular therapy for steno-occlusive subclavian and innominate artery disease: Safety and efficacy at a single center with >20 years’ experience
Bradaric C, Kuhs K, Groha P, Dommasch M, Langwieser N, Haller B, Ott I, Fusaro M, Theiss W, Von Beckerath N, Kastrati A, Laugwitz KL, Ibrahim T (2015)
Publication Type: Journal article
Publication year: 2015
Journal
Book Volume: 79
Pages Range: 537-543
Journal Issue: 3
Abstract
Background: This study investigated the safety and outcome of endovascular therapy for steno-occlusive subclavian or innominate artery disease at a single center over a long period of more than 2 decades. Methods and Results: We retrospectively analyzed all endovascular procedures of stenosis or occlusion of the subclavian or innominate artery between January 1990 and October 2013. During the observation period, a total of 130 procedures were attempted in 127 mostly symptomatic patients with stenosis (n=108; 83%) or occlusion (n=22; 17%) of the subclavian (n=119; 92%) and innominate (n=11; 8%) artery. The overall technical success rate was 97.7% (n=127/130). Accounting for the type of lesion, the success rate for stenosis was 100% (n=108/108) and for total occlusion, 86% (n=19/22). The periprocedural complication rate was low and included stroke, transient ischemic attack, and access site complications of 0.8%, 1.5%, and 3.8%, respectively. During a mean follow-up of 28 months the rate of restenosis (>70%) was 12%. Due to the overall low event rate no significant lesion or procedural risk factor for the development of restenosis could be identified. Conclusions: Stenosis and occlusion of the subclavian and innominate artery can be treated safely and successfully by endovascular therapy with excellent long-term patency.
Involved external institutions
Germany (DE)How to cite
APA:
Bradaric, C., Kuhs, K., Groha, P., Dommasch, M., Langwieser, N., Haller, B.,... Ibrahim, T. (2015). Endovascular therapy for steno-occlusive subclavian and innominate artery disease: Safety and efficacy at a single center with >20 years’ experience. Circulation Journal, 79(3), 537-543. https://doi.org/10.1253/circj.CJ-14-0855
MLA:
Bradaric, Christian, et al. "Endovascular therapy for steno-occlusive subclavian and innominate artery disease: Safety and efficacy at a single center with >20 years’ experience." Circulation Journal 79.3 (2015): 537-543.
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