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Endovascular Treatment of Brachiocephalic and Subclavian Arterial Disease

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DOI: 10.4236/ojrad.2013.31002    3,950 Downloads   6,697 Views   Citations


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.

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The authors declare no conflicts of interest.

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Y. Baba, S. Hayashi, H. Yamamoto, Y. Imoto and M. Nakajo, "Endovascular Treatment of Brachiocephalic and Subclavian Arterial Disease," Open Journal of Radiology, Vol. 3 No. 1, 2013, pp. 7-11. doi: 10.4236/ojrad.2013.31002.


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