Isolated True Subclavian Aneurysm without Aberrant Subclavian Artery or Coarctation of Descending Aorta

Sun, Jing; Qi, Hongxia; Shi, Yaoping; Guo, Hongwei; Shen, Chenyang; Ouyang, Chenxi; Qian, Xiangyang

doi:10.1016/j.avsg.2021.01.108

Cited by 4 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…22 In the case of subclavian artery aneurysms, endovascular treatments with covered stents gained acceptance due to their low morbidity, especially in patients unfit for open surgery. 11 However, concerns remain regarding the long-term results.…”

Section: Discussionmentioning

confidence: 99%

“…3 Specifically, subclavian artery aneurysms can manifest as transient ischemic attacks and stroke. 11 Local compression from mass effect can lead to neurological manifestations such as pain, paresthesia, or weakness associated with brachial plexus or median nerve compression. Venous compression could manifest as limb edema and pain 12,13 and acute deep vein thrombosis can be the form of presentation of arterial aneurysms.…”

Section: Introductionmentioning

confidence: 99%

“…Computed tomography angiography (CTA) and magnetic resonance angiography (MRA) are, nowadays, basic methods that allow an adequate anatomical characterization of the aneurysm and the relation with arterial branches, essential to proper planning of both surgical and endovascular procedures. 11 Angiography is rarely or never used unless an endovascular intervention is planned.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Hybrid Approach of a Complex Aneurysm of the Subclavian-Axillary-Brachial Axis: A Case Report

Mendes

Vaz

Machado

et al. 2022

Vasc Endovascular Surg

View full text Add to dashboard Cite

Background Upper extremity arterial aneurysms are a rare, potentially limb-threatening disorder. Due to its rarity, the best treatment modality and outcomes are not entirely established; however, there is a consensus that open surgery is the first-line treatment. We present a complex case of an arterial aneurysm of the subclavian-axillary-brachial axis adequately treated using a hybrid surgical and endovascular treatment. Case Presentation A 59-year-old man presented to the emergency department with acute ischemia of the right upper limb. An extensive thrombosed aneurysm of the subclavian-axillary-brachial axis was identified. The treatment was carried out in two stages. In the first phase, urgent limb revascularization was performed using the great saphenous vein to perform a subclavian-brachial artery bypass. Later, the aneurysm was excluded using a vascular plug and multiple coils. Successful treatment was achieved with no morbidity for the patient. Conclusions Although the gold standard for treating upper limb aneurysms is open surgery, endovascular techniques can be a significant adjunct, reducing treatment morbidity and even mortality.

show abstract

Section: Discussionmentioning

confidence: 99%