Endovascular procedures in the treatment of obstructive lesions of brachiocephalic arteries
Background. To assess the early effects, possible risks, and long term results of percutaneous transluminal angioplasty (PTA) of brachiocephalic trunk (BT) and subclavian arteries (SA). Methods. During the period of 11 years, in 92 patients (57 males - 62%, mean age 53,5 ± 7,8 years) 93 PTA of SA/BT...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2002-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2002/0042-84500203255S.pdf |
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| author | Sagić Dragan Radak Đorđe Perić Miodrag S. Ilijevski Nenad Sajić Zoran Petrović Branko B. Mirić Milutin P. |
| author_facet | Sagić Dragan Radak Đorđe Perić Miodrag S. Ilijevski Nenad Sajić Zoran Petrović Branko B. Mirić Milutin P. |
| author_sort | Sagić Dragan |
| collection | DOAJ |
| description | Background. To assess the early effects, possible risks, and long term results of percutaneous transluminal angioplasty (PTA) of brachiocephalic trunk (BT) and subclavian arteries (SA). Methods. During the period of 11 years, in 92 patients (57 males - 62%, mean age 53,5 ± 7,8 years) 93 PTA of SA/BT were performed; 70 (75%) lesions were stenosis, while 23 (25%) lesions were occlusions with mean diameter stenosis percent of 83,1 ± 6,2%. Clinical indications were: vertebrobasilar insufficiency (n=57), upper limb ischemia (n=40), coronary steal syndrome (n=4) and scheduled aorto-coronary bypass, using internal thoracic artery (ITA) (n=4 asymptomatic patients). Mean lesion length was 22 ± 8 mm. Results. Eighty one (87%) out of 93 lesions were successfully dilated; all of 12 (13%) failures were due to unsuccessful recanalisation of occluded arteries. In 10 patients 10 stents were implanted (2 in BT and 8 in left SA). There were 6 (6.5%) procedural complications: 1 dissection, 1 thrombosis of the left SA, transient ischemic attack in 2 patients, and 2 cases of dislocation of atheromatous plaque from the right SA into the right common carotid artery. During the follow-up of 48 ± 3 months, 16 (20%) restenoses were treated by PTA (n=7) or operatively (n=9). Primary and secondary patency for all lesions treated during 11 years was 87% and 80%, respectively (stenosis: 97% and 89%; occlusions: 58% and 58%). Conclusion. PTA with or without stenting was relatively simple, efficient and safe procedure. It required short hospitalization with low treatment costs. If any of suboptimal results or chronic occlusions were present, the implantation of endovascular stents should have been considered. |
| format | Article |
| id | doaj-art-179337ee48c84058a42ce059e5da074d |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2002-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-179337ee48c84058a42ce059e5da074d2025-08-20T01:59:05ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502002-01-0159325525910.2298/VSP0203255SEndovascular procedures in the treatment of obstructive lesions of brachiocephalic arteriesSagić DraganRadak ĐorđePerić Miodrag S.Ilijevski NenadSajić ZoranPetrović Branko B.Mirić Milutin P.Background. To assess the early effects, possible risks, and long term results of percutaneous transluminal angioplasty (PTA) of brachiocephalic trunk (BT) and subclavian arteries (SA). Methods. During the period of 11 years, in 92 patients (57 males - 62%, mean age 53,5 ± 7,8 years) 93 PTA of SA/BT were performed; 70 (75%) lesions were stenosis, while 23 (25%) lesions were occlusions with mean diameter stenosis percent of 83,1 ± 6,2%. Clinical indications were: vertebrobasilar insufficiency (n=57), upper limb ischemia (n=40), coronary steal syndrome (n=4) and scheduled aorto-coronary bypass, using internal thoracic artery (ITA) (n=4 asymptomatic patients). Mean lesion length was 22 ± 8 mm. Results. Eighty one (87%) out of 93 lesions were successfully dilated; all of 12 (13%) failures were due to unsuccessful recanalisation of occluded arteries. In 10 patients 10 stents were implanted (2 in BT and 8 in left SA). There were 6 (6.5%) procedural complications: 1 dissection, 1 thrombosis of the left SA, transient ischemic attack in 2 patients, and 2 cases of dislocation of atheromatous plaque from the right SA into the right common carotid artery. During the follow-up of 48 ± 3 months, 16 (20%) restenoses were treated by PTA (n=7) or operatively (n=9). Primary and secondary patency for all lesions treated during 11 years was 87% and 80%, respectively (stenosis: 97% and 89%; occlusions: 58% and 58%). Conclusion. PTA with or without stenting was relatively simple, efficient and safe procedure. It required short hospitalization with low treatment costs. If any of suboptimal results or chronic occlusions were present, the implantation of endovascular stents should have been considered.http://www.doiserbia.nb.rs/img/doi/0042-8450/2002/0042-84500203255S.pdfarterial occlusive diseasesbrachiocephalic trunksubclavian arteryangioplasty, balloonstents |
| spellingShingle | Sagić Dragan Radak Đorđe Perić Miodrag S. Ilijevski Nenad Sajić Zoran Petrović Branko B. Mirić Milutin P. Endovascular procedures in the treatment of obstructive lesions of brachiocephalic arteries Vojnosanitetski Pregled arterial occlusive diseases brachiocephalic trunk subclavian artery angioplasty, balloon stents |
| title | Endovascular procedures in the treatment of obstructive lesions of brachiocephalic arteries |
| title_full | Endovascular procedures in the treatment of obstructive lesions of brachiocephalic arteries |
| title_fullStr | Endovascular procedures in the treatment of obstructive lesions of brachiocephalic arteries |
| title_full_unstemmed | Endovascular procedures in the treatment of obstructive lesions of brachiocephalic arteries |
| title_short | Endovascular procedures in the treatment of obstructive lesions of brachiocephalic arteries |
| title_sort | endovascular procedures in the treatment of obstructive lesions of brachiocephalic arteries |
| topic | arterial occlusive diseases brachiocephalic trunk subclavian artery angioplasty, balloon stents |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2002/0042-84500203255S.pdf |
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