Endovascular Therapy for Steno-Occlusive Subclavian and Innominate Artery Disease : Safety and Efficacy at a Single Center With >20 Years' Experience

• Bradaric Christian

  Department of Cardiology, Klinikum Rechts der Isar, Technische Universität München

• Kuhs Kristin

  Department of Cardiology, Klinikum Rechts der Isar, Technische Universität München

• Groha Philip

  Department of Cardiology, Klinikum Rechts der Isar, Technische Universität München

• Dommasch Michael

  Department of Cardiology, Klinikum Rechts der Isar, Technische Universität München

• Langwieser Nicolas

  Department of Cardiology, Klinikum Rechts der Isar, Technische Universität München

• Haller Bernhard

  Department of Medical Statistics and Epidemiology, Klinikum Rechts der Isar, Technische Universität München

• Ott Ilka

  German Heart Centre Munich, Technische Universität München

• Fusaro Massimiliano

  German Heart Centre Munich, Technische Universität München

• Theiss Wolfram

  Department of Cardiology, Klinikum Rechts der Isar, Technische Universität München

• von Beckerath Nicolas

  General Hospital Viersen

• Kastrati Adnan

  German Heart Centre Munich, Technische Universität München DZHK (German Centre for Cardiovascular Research), Munich Heart Alliance

• Laugwitz Karl-Ludwig

  Department of Cardiology, Klinikum Rechts der Isar, Technische Universität München DZHK (German Centre for Cardiovascular Research), Munich Heart Alliance

• Ibrahim Tareq

  Department of Cardiology, Klinikum Rechts der Isar, Technische Universität München

書誌事項

タイトル別名

• Endovascular Therapy for Steno-Occlusive Subclavian and Innominate Artery Disease
• – Safety and Efficacy at a Single Center With >20 Years’ Experience –

抄録

Background:This study investigated the safety and outcome of endovascular therapy for steno-occlusive subclavian or innominate artery disease at a single center over a long period of more than 2 decades.Methods and Results:We retrospectively analyzed all endovascular procedures of stenosis or occlusion of the subclavian or innominate artery between January 1990 and October 2013. During the observation period, a total of 130 procedures were attempted in 127 mostly symptomatic patients with stenosis (n=108; 83%) or occlusion (n=22; 17%) of the subclavian (n=119; 92%) and innominate (n=11; 8%) artery. The overall technical success rate was 97.7% (n=127/130). Accounting for the type of lesion, the success rate for stenosis was 100% (n=108/108) and for total occlusion, 86% (n=19/22). The periprocedural complication rate was low and included stroke, transient ischemic attack, and access site complications of 0.8%, 1.5%, and 3.8%, respectively. During a mean follow-up of 28 months the rate of restenosis (>70%) was 12%. Due to the overall low event rate no significant lesion or procedural risk factor for the development of restenosis could be identified.Conclusions:Stenosis and occlusion of the subclavian and innominate artery can be treated safely and successfully by endovascular therapy with excellent long-term patency. (Circ J 2015; 79: 537–543)

収録刊行物

• Circulation Journal

  Circulation Journal 79 (3), 537-543, 2015

  一般社団法人 日本循環器学会

キーワード

• Endovascular
• Innominate artery
• Restenosis
• Stent
• Subclavian artery

詳細情報

• CRID: 1390001205106983296
• NII論文ID: 130004927096
• NII書誌ID: AA11591968
• DOI: 10.1253/circj.cj-14-0855
• ISSN: 13474820
• ISSN: 13469843
• NDL書誌ID: 026186920
• PubMed: 25746537
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I026186920
• Web Site: https://www.jstage.jst.go.jp/article/circj/79/3/79_CJ-14-0855/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2015297229
• 本文言語コード: en
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可