Endovascular treatment of the subclavian artery aneurysm in high-risk patient - a single-center experience
We present our first experience with endovascular treatment of 6 subclavian artery aneurysms (SAA) occurring in five male and one female patient. All patients, in our studies, according to ASA classification were high risk for open repair of SAA. The etiology of the all aneurysms was athero...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2016-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600091M.pdf |
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| Summary: | We present our first experience with endovascular treatment of 6 subclavian
artery aneurysms (SAA) occurring in five male and one female patient. All
patients, in our studies, according to ASA classification were high risk for
open repair of SAA. The etiology of the all aneurysms was atherosclerosis
degeneration of the artery. Two aneurysms were of intrathoracic location,
then the other were extrathoracic. Symptoms related to subclavian artery
aneurysms were present in two patients, compression and chest pain in one,
and hemorrhage shock in second, while the remaining patients were
asymptomatic. We preferred the Viabhan endoprosthesis for endovascular repair
in 5 cases. In one patient with ruptured of subclavian artery aneurysm who
was high-risk for open repair we made combined endovascular procedure. First
at all, we covered the origin of left subclavian artery with thoracic stent
graft and after that we put two coils in proximal part of subclavian artery.
There was no operative mortality, and the early patency rate was 100%. The
follow-up period was from 3 months to 3 years. During this period, one
patient died of heart failure and one patient required endovascular
reoperation due to endoleak type I. Endovascular treatment is recommended for
all patients with subclavian artery aneurysm whenever this is possible due to
anatomical reasons especially in high-risk patient with intrathoracic
localization of aneurysm, to prevent potential complications. |
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| ISSN: | 0042-8450 2406-0720 |