Endovascular Treatment of Brachiocephalic and Subclavian Arterial Disease

• 作者: Hiroyuki Yamamoto Masayuki Nakajo Sadao Hayashi Yasutaka Baba Yutaka Imoto
• 来源期刊: 放射学期刊(英文)
• 学科: 医学
• 关键词: STENTGRAFT Brachiocephalic ARTERY SUBCLAVIAN ARTERY PSEUDOANEURYSM
• 年，卷（期）: 2013,（1）
• 页码范围: 7-11
• 页数: 5页
• 分类号: R5

摘要

Objectives: To review our experience of stentgraft deployment for vascular aneurysm or pseudoaneurysm of the brachiocephalic or subclavian artery. Methods: Participants comprised 7 patients (4 men, 3 women;mean age, 61 years;range, 47 - 76 years) who underwent endovascular repair of brachiocephalic or subclavian arterial vascular lesions between July 2001 and November 2008. Causes of vascular lesions were: traffic accident, n = 4;infection, n = 2;and post-irradiation state of esophageal cancer, n = 1. Safety, technical success, and clinical follow-up were evaluated. Results: Stentgraft deployment was successful in all cases. No complications related to stent fracture were encountered during follow-up (up to 2308 days). One male patient with esophageal cancer died of rebleeding from the tracheostomy hole 13 days after treatment with size mismatch between the stentgraft and brachiocephalic artery. Conclusion: Stentgraft deployment represents acceptable treatment for the injured brachiocephalic artery or proximal side of the subclavian artery.