Angioplasty of the Innominate Artery in 89 Patients: Experience over 19 Years

Hüttl, Kálmán; Nemes, Balázs; Simonffy, A.; Entz, László; Bérczi, Viktor

doi:10.1007/s00270-001-0074-y

Cited by 87 publications

(76 citation statements)

References 10 publications

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“…7 Angioplasty and stenting are interesting alternatives to high-risk open surgery in IA disease. Periprocedural stroke rates may be as low as 0% 8 or 1.1%, 9 and endovascular treatment seems to be an overall safe treatment for IA stenosis. This apparent superiority of percutaneous treatment is in agreement with the findings of nonsystematic reviews of patients with miscellaneous supraaortic lesions.…”

Section: Oy-stermentioning

confidence: 99%

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Pearls & Oy-sters: Symptomatic innominate artery disease

Guedes¹,

Valeriano

Puglia

et al. 2016

Neurology

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Section: Oy-stermentioning

confidence: 99%

“…Asymptomatic patients or patients with a wide array of symptoms such as arm ischemia, stroke, or myocardial ischemia were included. [7][8][9] Neurologic outcomes were not studied in detail.…”

Section: Oy-stermentioning

confidence: 99%

Pearls & Oy-sters: Symptomatic innominate artery disease

Guedes¹,

Valeriano

Puglia

et al. 2016

Neurology

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“…16,17) Various protection methods have been reported. These include dual protection from the brachial side (as was employed in this case); dual protection from the femoral side; no protection of VA based on the prediction that antegrade blood flow in the VA will not reestablish for some time following resolution of innominate artery stenosis when subclavian steal was apparent preoperatively; and a distal retrograde approach by entering the CCA with surgical exposure and direct clamping of the CCA.…”

Section: Discussionmentioning

confidence: 99%

Direct Puncture of a Surgically-exposed Femoral Artery Graft for Simultaneous Stenting of Coronary, Carotid and Innominate Artery Stenoses

Matsuo

Fujita

Tanaka

et al. 2017

JNET

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Objective: The number of access routes for endovascular treatment is limited in patients with a history of aorto-femoral bypass surgery. Here, we present a patient with stenosis of the coronary, left carotid, and innominate arteries. We performed simultaneous stenting of each stenotic lesion by direct puncture of a femoral artery graft with surgical exposure and purse string suture ligation. Case Presentation:The patient was a 74-year-old male with a history of aorto-bifemoral bypass surgery, coronary artery stenting, and coronary artery bypass grafting for systemic atherosclerotic disease. Coronary artery stenting became necessary because of recurring angina pectoris. The three lesions were treated simultaneously by surgical exposure and direct graft puncture and 9 Fr sheath insertion. The punctured graft was sutured for hemostasis. No puncture site complications were noted. Conclusion:This case suggests that when the number of possible access routes for endovascular treatment is limited, it is feasible and safe to perform direct graft puncture with surgical exposure, and to achieve hemostasis by suturing the puncture site.

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“…A further evolution in the treatment of atherosclerotic lesions of the SATs occurred in the 1980s as percutaneous transluminal angioplasty (PTA) techniques were applied to these lesions. Initially these lesions were treated with PTA alone [6][7][8][9][10][11][12][13], but subsequent studies have reported an improvement in these initial results when stenting implantation was associated to balloon angioplasty [11,[14][15][16][17]. Recent reports, with short and midterm results, suggest that percutaneous treatment of the innominate arteries can be performed with relatively safety and expectations of satisfactory mid-term success [6,[9][10][11][12]18,19].…”

Section: Introductionmentioning

confidence: 99%

Innominate Artery Stenting: A Single Centre Experience

2016

JCCR

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Objectives: To analyze retrospectively the procedures of PTA with stenting of the innominate artery lesions performed in our Centre. Results: In all cases we obtained a successful immediate angiographyc result. No major complication (death, stroke) occurred during the immediate perioperative period and troughout all the follow up. Minor complications included puncture site hematoma (1 patients) and acute renal insufficiency (1 patient with known cronic renal insufficiency). Symptoms improved in all patients. Throughout follow up there have been no cases of restenosis detected by routine eco-Doppler examinations and all patients have remained symptoms free. Background Conclusion:Percutaneous transluminal angioplasty with stenting may be a viable, effective and safety alternative to traditional surgical treatment of the innominate artery stenosis and occlusions.

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Angioplasty of the Innominate Artery in 89 Patients: Experience over 19 Years

Abstract: Angioplasty of the innominate artery has been proven to be safe and effective on a large series of patients. For innominate artery stenosis and short occlusion, PTA should be the treatment of choice.

Cited by 87 publications

References 10 publications

Pearls & Oy-sters: Symptomatic innominate artery disease

Pearls & Oy-sters: Symptomatic innominate artery disease

Direct Puncture of a Surgically-exposed Femoral Artery Graft for Simultaneous Stenting of Coronary, Carotid and Innominate Artery Stenoses

Innominate Artery Stenting: A Single Centre Experience

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