Katheterrekanalisation eines Subklaviaverschlusses

Mathias, K.; Schlosser, V.; Reinke, Marcus

doi:10.1055/s-2008-1056576

Cited by 40 publications

(6 citation statements)

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“…Mathias et al 1 first reported catheter intervention for subclavian artery disease in 1980. Subsequently, endovascular therapy (EVT) has been shown to be effective for treating stenotic and occlusive lesions 2–6 and is widely used as the first-line treatment in many hospitals.…”

Section: Introductionmentioning

confidence: 99%

Perioperative and Long-term Outcomes of Endovascular Treatment for Subclavian Artery Disease From a Large Multicenter Registry

et al. 2015

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Section: Introductionmentioning

confidence: 99%

Perioperative and Long-term Outcomes of Endovascular Treatment for Subclavian Artery Disease From a Large Multicenter Registry

et al. 2015

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“…The limitations of traditional surgical management of supra‐aortic disease, and the good results achieved by the endovascular approach, have shifted treatment toward percutaneous interventions. Percutaneous transluminal angioplasty (PTA) to treat aortic arch vessels was begun 20 years ago and has improved steadily along with other endovascular treatments of arterial disease [2, 3]. PTA is considered an effective treatment for subclavian artery stenosis, and stent implantation has become the most common treatment of these lesions.…”

Section: Introductionmentioning

confidence: 99%

Endovascular treatment of the subclavian artery: Stent implantation with or without predilatation

Amor¹,

Eid-Lidt²,

Chati³

et al. 2004

Cathet Cardio Intervent

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The endovascular treatment of subclavian artery (SA) lesions is less invasive than open surgical repair, with a low rate of complications. We report our experience in 89 subclavian obstructive lesions (n = 86) treated with stenting: 76 (85.3%) stenoses and 13 (14.6%) total occlusions. The left side was most frequently involved (83.1%), localized at the prevertebral segment in 91%. Technical success was obtained in 83 (93.3%) cases, 100% in stenotic lesions and 53.8% in total occlusions. There were nine global complications (10.1%): five (5.6%) at site of puncture, two distal embolization (2.2%), and two (2.3%) major events. The long-term follow-up was 3.51 +/- 1.98 years, during which time 13 (16.8%) restenoses and 2 (2.6%) reocclusions were noted. Subgroup analysis of patients with stenting after predilatation versus direct stenting technique showed in-hospital complications only in the first group, with a restenosis rate of 28.5% vs. 4.7%, respectively (P = 0.003). We consider stenting for SA obstructive lesions the first therapeutic option.

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“…28 By the 1980s, several reports of PTA of aortic arch vessels appeared in the literature. [29][30][31] While balloon dilation of these stenoses was shown to be efficacious and safe, the major issue was need for re-intervention as long-term patency was much inferior to surgical correction. Other issues with PTA included cerebral embolization via the ipsilateral vertebral artery during subclavian angioplasty, although in some cases the delayed reversal of vertebral flow after subclavian PTA described by Ringelstein and Zeumer 32 decreased this complication.…”

Section: Endovascular Interventionsmentioning

confidence: 99%

Subclavian artery stenosis: A review for the vascular medicine practitioner

2010

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Peripheral artery disease assessment typically focuses on the evaluation of lower extremity symptoms and physical findings. Few practitioners consider the importance of upper extremity arterial disease; which, besides causing hand and arm symptoms, can be associated with significant neurologic and cardiac sequelae. A review of the existing literature through PubMed using the search term 'subclavian stenosis' was performed. The latest original articles, including clinical studies, case reports and limited reviews of this topic were adapted. A comprehensive article review focusing on the diagnostic and treatment approach for subclavian stenosis was prepared. In conclusion, vascular medicine practitioners including cardiologists and vascular surgeons caring for patients with arterial disease should routinely assess for subclavian stenosis. There are excellent screening tools and effective medical therapies which can be instituted if diagnosed early. When the need for revascularization arises, percutaneous modalities are favored given their proven long-term efficacy, decreased morbidity and mortality, and cost-effectiveness.

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Katheterrekanalisation eines Subklaviaverschlusses

Cited by 40 publications

References 0 publications

Perioperative and Long-term Outcomes of Endovascular Treatment for Subclavian Artery Disease From a Large Multicenter Registry

Perioperative and Long-term Outcomes of Endovascular Treatment for Subclavian Artery Disease From a Large Multicenter Registry

Endovascular treatment of the subclavian artery: Stent implantation with or without predilatation

Subclavian artery stenosis: A review for the vascular medicine practitioner

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