The treatment of focal aortic arch branch lesions with Palmaz stents

Queral, Luis A.; Criado, Frank J.

doi:10.1016/s0741-5214(96)70282-3

Cited by 101 publications

(46 citation statements)

References 15 publications

(1 reference statement)

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“…Stenting was subsequently introduced to address these issues and theoretically reduce the risk of atheroembolization. Recent experiences of PTA and stenting treatment of the innominate artery lesions, performed in other center, 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]. In our experience the access to innominate artery lesion was achieved in a retrograde fashion via a humeral right artery puncture.…”

Section: Discussionmentioning

confidence: 75%

“…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]. In our Center we have performed 6 procedures of PTA and stenting for stenotic and occlusive innominate artery lesions.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Innominate Artery Stenting: A Single Centre Experience

2016

JCCR

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“…However, the literature on the endovascular or hybrid open treatment of the IA is limited and consists only of small series with short clinical follow-ups. 1,[6][7][8][9][10] Furthermore, most of the series did not focus on the treatment of IA stenosis alone but combined the outcomes of the treatment of vertebral, subclavian, and carotid arteries.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Standard open surgical procedures are now mostly reserved for extensive multivessel involvement or after failed endovascular procedures.…”

mentioning

confidence: 99%

“…For IA stenosis with concomitant disease of the carotid bifurcation, open retrograde angioplasty and stent placement with or without concomitant carotid endarterectomy have been advocated as less invasive treatment alternatives to the traditional surgical procedures. 1,[3][4][5] Often the IA represents the most challenging supra-aortic trunk vessel due to its large diameter and short length as well as the bifurcation pattern into the right CCA and SCA. Endovascular stent-placement interventions have been reported with high technical and clinical success rates, low complication rates, and good midterm patency rates.…”

mentioning

confidence: 99%

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Percutaneous and Open Retrograde Endovascular Stenting of Symptomatic High-Grade Innominate Artery Stenosis: Technique and Follow-Up

Mordasini¹,

Gralla²,

Dd³

et al. 2011

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:Angioplasty and stenting of the IA have been reported with high technical and clinical success rates, low complication rates and good mid-term patency rates. Different antegrade or retrograde endovascular catheter-based approaches and combinations with surgical exposure of the CCA are used. The purpose of this study was to determine safety, efficacy and mid-term clinical and radiological outcome of the stent-assisted treatment of atherosclerotic stenotic disease of the IA with special focus on the different technical approaches.

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Aortic Arch Vessel Stenting

Peterson¹

2006

Arch Surg

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Hypothesis: Endovascular interventions have revolutionized the contemporary treatment of peripheral vascular occlusive disease. Traditional management of supra-aortic trunk disease has employed surgical extra-anatomic bypass via a cervical approach or median sternotomy. Endoluminal therapy may be a less morbid alternative. Design and Setting:A retrospective review of procedures performed by vascular surgeons in an operating room angiosuite at a single university-based, tertiary referral center.Patients: Eighteen consecutive patients with 20 brachiocephalic-origin stenoses.Interventions: From December 2001 through September 2005, 20 brachiocephalic-origin stenoses were treated endoluminally with balloon-expandable stents. Treated vessels were innominate (n=8), common carotid (n=9), and subclavian (n=3). The target lesion was accessed by one of the following methods: antegrade via the femoral artery (n = 5), retrograde through the brachial artery (n=1), or via a retrograde cut-down on the common carotid artery (n=14). Cerebral protection was achieved with either a distal embolic filter device or with open surgical occlusion of the distal common carotid artery. Main Outcome Measures:We report immediate and midterm outcomes of all aortic arch vessel stenting procedures with mean follow-up of 12 months.Results: Mean age was 68 years (6 men and 12 women) and overall mean stenosis was 85%. Preprocedural symptoms including stroke, transient ischemic attack, arm fatigue, digital ischemia, and angina were present in 16 of 20 cases (80%). The 4 asymptomatic patients all had more than 90% stenosis on angiography. At 30-day follow-up, there were no deaths, myocardial infarctions, or strokes. During follow-up, there were no cases of restenosis. Conclusion: Endoluminal arterial stenting of brachiocephalic arch vessels may be a viable alternative to traditional open bypass in cases of focal stenotic disease.

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The treatment of focal aortic arch branch lesions with Palmaz stents

Abstract: Focal aortic branch lesions can be effectively and safely treated with Palmaz stents.

Cited by 101 publications

References 15 publications

Innominate Artery Stenting: A Single Centre Experience

Innominate Artery Stenting: A Single Centre Experience

Percutaneous and Open Retrograde Endovascular Stenting of Symptomatic High-Grade Innominate Artery Stenosis: Technique and Follow-Up

Aortic Arch Vessel Stenting

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