Clinical effectiveness of endovascular therapy for total occlusion of the subclavian arteries

doi:10.3969/j.issn.10073205.2016.01.003

Journal of Hebei Medical University

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Clinical effectiveness of endovascular therapy for total occlusion of the subclavian arteries

#br#

(
1. DepartmentofCardiovascularSurgery , theFirstHospitalofQinhuangdaoCity , HebeiProvince ,
Qinghuangdao 066000 , China ; 2. DepartmentofEndocrinology , theFirstHospitalofQinhuangdao
City , HebeiProvince , Qinghuangdao 066000
, China ; 3. DepartmentofVascularSurgery ,
XuanWuHospitalofCapitalMedicalUniversity , Beijing 100053 , China

Online:2016-01-25 Published:2016-04-27

Abstract

Abstract: ] Objective Thepurposeofthisstudywastoevaluatetheeffectivenessofstenting
therapyforthepatientswithtotalsubclavianarteryocclusion.Methods Atotalof67patients
hadunderwentendovasculartherapyforthetreatmentoftotalsubclavianarteryocclusion.All
patientswerefollowedat3 , 6 , and12monthsaftertreatmentandannuallythereafter.Results
52stentswereplaced.Technicalfailurewasnotedin15patients , whilethesymptomsfailedto
resolveintwo.Therewerenoperioperativedeaths.4complicationswereobserved.Therateof
primarypatencywas98.22% at12 months , 94.31% at24 months , and92.17% at3years.
Significantrecurrentobstructiondevelopedinfivepatientswhousedballoon-expandablestents.
Conclusion Whenperformedbyskilledsurgeons , endovasculartherapywithstentplacement
canbeusedasasafeandeffectivetherapyfortotalocclusionoftheproximalsubclavianartery.
However , embolicprotectiondevicesshouldbeconsideredduringthemanagementofrightside
occlusion.

Key words: subclavian artery, arterial occlusive diseases, stents

LIU Yajun1,3,WANG Di2,ZHAO Weidong1,GAN Quan1,ZHAO Guozhen1，ZHANG Jian3*. Clinical effectiveness of endovascular therapy for total occlusion of the subclavian arteries[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2016.01.003.

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Clinical effectiveness of endovascular therapy for total occlusion of the subclavian arteries

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