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Developments in Endovascular and Endoscopic Surgery SECTION EDITOR: Samuel S. Ahn, MD DOI: 10.1007/s100169910034 Endovascular Management of Brachiocephalic Arterial Occlusive Disease Edward B. Diethrich, MD, Phoenix, Arizona Extracranial cerebrovascular disease often results spective analysis of 112 patients treated for 151 le- from brachiocephalic or subclavian occlusions, and sions in the innominate, subclavian, carotid, and these lesions may be associated with debilitating vertebral arteries. Standard retrograde femoral ar- symptoms. Although conservative treatment tery access and balloon dilation of the lesion site sometimes alleviates symptomatology, surgical in- were employed in most cases. Toward the end of tervention has been a standard solution, despite the the series, stents were deployed when angioplasty 2,3 potential for significant morbidity and mortality. was suboptimal. Success, which was defined as The use of endovascular techniques in the bra- resolution of symptoms and an increase in blood chiocephalic vessels is relatively recent, but results flow of >50%, was achieved in 141 (93%) of 151 4-12 are very encouraging, leading some authors to lesions. Minor periprocedural complications were suggest that stenting is the treatment of choice for reported in two patients, and a third patient, who 13,14 proximal occlusions of the upper limb vessels. underwent left common carotid
Annals of Vascular Surgery – Springer Journals
Published: Feb 17, 2014
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