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Titolo:
Intentional left subclavian artery occlusion by thoracic aortic stent-grafts without surgical transposition
Autore:
Hausegger, KA; Oberwalder, P; Tiesenhausen, K; Tauss, J; Stanger, O; Schedlbauer, P; Deutschmann, H; Rigler, B;
Indirizzi:
Univ Hosp, Dept Radiol, A-8036 Graz, Austria Univ Hosp Graz Austria A-8036 iv Hosp, Dept Radiol, A-8036 Graz, Austria Univ Hosp, Dept Cardiac Surg, Graz, Austria Univ Hosp Graz AustriaUniv Hosp, Dept Cardiac Surg, Graz, Austria Univ Hosp, Dept Vasc Surg, Graz, Austria Univ Hosp Graz AustriaUniv Hosp, Dept Vasc Surg, Graz, Austria
Titolo Testata:
JOURNAL OF ENDOVASCULAR THERAPY
fascicolo: 5, volume: 8, anno: 2001,
pagine: 472 - 476
SICI:
1526-6028(200110)8:5<472:ILSAOB>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
ATHEROSCLEROTIC LESIONS; CAROTID-TRANSPOSITION; ANEURYSMS; PLACEMENT; DISSECTION; EXPERIENCE; REPAIR;
Keywords:
aortic dissection; thoracic aortic aneurysm; Talent endograft; left vertebral artery; collateral flow;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Hausegger, KA Univ Hosp, Dept Radiol, Auenbruggerpl 9, A-8036 Graz, Austria Univ Hosp Auenbruggerpl 9 Graz Austria A-8036 Graz, Austria
Citazione:
K.A. Hausegger et al., "Intentional left subclavian artery occlusion by thoracic aortic stent-grafts without surgical transposition", J ENDOVAS T, 8(5), 2001, pp. 472-476

Abstract

Purpose: To report the consequences of endoluminal deployment of stent-grafts in the thoracic aorta with intentional occlusion of the left subclavianartery. Case Reports: Three patients with an aortic type-B dissection and 1 with athoracic aneurysm were treated endoluminally with Talent stent-grafts implanted over the ostium of the left subclavian artery without prior surgical subclavian-carotid transposition. The primary intimal tears were sealed andthe degenerative aneurysm excluded; blood pressure in the left arm was significantly diminished immediately after the stent-graft was released, but adequate collateral retrograde perfusion via the left vertebral artery was apparent in all patients. No neurological deficit and no symptoms of left arm ischemia were observed in a follow-up that ranged from 14 to 20 months. Conclusions: Our limited experience shows that occlusion of the left subclavian artery with a stent-graft is well tolerated. If ischemic symptoms occur, a transposition procedure can be performed on an elective basis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/07/20 alle ore 03:25:30