Stenting of Subclavian Artery True and False Aneurysms: A Systematic Review

Maskanakis, Anastasios; Patelis, Nikolaos; Moris, Demetrios; Tsilimigras, Diamantis I.; Schizas, Dimitrios; Diakomi, Maria; Bakoyiannis, Christos; Georgopoulos, Sotirios; Klonaris, Chris; Liakakos, Theodore

doi:10.1016/j.avsg.2017.08.013

Cited by 41 publications

(39 citation statements)

References 71 publications

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“…Until now, covered stents have been more widely applied for extracranial pseudoaneurysms; frequently used covered stents include Wallgraft, Jostent, Symbiot and Gore systems 15,16) . Because of the smaller anatomical curvature in extracranial arteries, the delivery and deployment of covered stents tends to be less difficult.…”

Section: Discussionmentioning

confidence: 99%

Covered Stenting Is an Effective Option for Traumatic Carotid Pseudoaneurysm with Promising Long-Term Outcome

Wang¹,

Peng

Liu³

et al. 2020

J Korean Neurosurg Soc

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Objective : Covered stenting is an optional strategy for traumatic carotid pseudoaneurysm, especially in malignant conditions of potential rupture, but the long-term outcomes are not clear. Our aim was to determine if covered stenting is an effective option for traumatic carotid pseudoaneurysm with promising long-term outcomes. Methods : Self-expanding Viabahn and balloon-expandable Willis covered stents were separately implanted for extra-and intracranial traumatic carotid pseudoaneurysm. The covered stent was placed across the distal and proximal pseudoaneurysm leakage under roadmap guidance. Procedural success was defined as technical success (complete exclusion of the pseudoaneurysm and patency of the parent artery) without a primary end point (any stroke or death within 30 days after the procedure). Longterm outcomes were evaluated as ischemic stroke in the territory of the qualifying artery by clinical follow-up through outpatient or telephone consultation and as the exclusion of the pseudoaneurysm and patency of the parent artery by imaging follow-up through angiography. Results : Five patients with traumatic carotid pseudoaneurysm who underwent covered stenting were enrolled. The procedural success rate was 100%. No ischemic stroke in the territory of the qualifying artery was recorded in any of the five patients during a mean clinical follow-up of 44±16 months. Complete exclusion of the pseudoaneurysm and patency of the parent artery were maintained in all five patients during a mean imaging follow-up of 39±16 months. Conclusion : Satisfactory procedural and long-term outcomes were obtained, suggesting that covered stenting is an effective option for traumatic carotid pseudoaneurysm.

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Section: Discussionmentioning

confidence: 99%

Covered Stenting Is an Effective Option for Traumatic Carotid Pseudoaneurysm with Promising Long-Term Outcome

Wang¹,

Peng

Liu³

et al. 2020

J Korean Neurosurg Soc

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“…In a recent systematic review, Maskanakis et al demonstrated that trauma is the most common cause of subclavian artery aneurysm (33%-37%). 3 Same authors reported that only 15.8% of all subclavian artery aneurysms (22 of the 142 cases) were true aneurysms and the rest were pseudoaneurysms. 3 The majority of subclavian artery pseudoaneurysms occur after iatrogenic injury during line placement; they can also be the sequela of any external inflammatory or malignancy process nearby in the lung, esophagus or mediastinum.…”

Section: Discussionmentioning

confidence: 99%

“…3 Same authors reported that only 15.8% of all subclavian artery aneurysms (22 of the 142 cases) were true aneurysms and the rest were pseudoaneurysms. 3 The majority of subclavian artery pseudoaneurysms occur after iatrogenic injury during line placement; they can also be the sequela of any external inflammatory or malignancy process nearby in the lung, esophagus or mediastinum. Due to rarity of long-term sequelae of trauma-related subclavian artery pseudoaneurysms, the literature on this topic is restricted to case reports.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…3 Same authors reported that only 15.8% of all subclavian artery aneurysms (22 of the 142 cases) were true aneurysms and the rest were pseudoaneurysms. 3…”

Section: Discussionmentioning

confidence: 99%

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Open Surgical Approach for Type II Endoleak in Subclavian Artery Pseudoaneurysm Presented With Neurological Symptoms After Endovascular Repair

Malekpour

Hebeler

Kirkwood

2020

Vasc Endovascular Surg

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We present a rare case of a 10-cm right subclavian artery pseudoaneurysm, with slow growth over 4 years after a traumatic fracture of the right clavicle. The patient had multiple prior endovascular attempts of embolization and stenting at other hospitals; despite this the pseudoaneurysm continued to grow and caused mass effect and neurologic symptoms. We present our open approach for the repair and a review of literature.

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