Immediate and long-term outcome of stenting of proximal parts of aortic arch branches
- Authors: Suslina Z.A.1, Chechetkin A.O.2, Kunzevich G.I.2, Skrylev S.I.2, Protsky S.V.2, Koshcheev A.Y.2, Shchipakin V.L.2, Lagoda O.V.2, Krasnikov A.V.2
-
Affiliations:
- Research Centre of Neurology
- Research Center of Neurology
- Issue: Vol 4, No 2 (2010)
- Pages: 4-10
- Section: Original articles
- Submitted: 03.02.2017
- Published: 13.02.2017
- URL: https://www.annaly-nevrologii.com/journal/pathID/article/view/347
- DOI: https://doi.org/10.17816/psaic347
- ID: 347
Cite item
Full Text
Abstract
Complex clinical-ultrasound study was carried our in 29 patients before and after stenting of 29 subclavian arteries (SA) and 2 brachiocephalic trunks (BCT). In 28 cases damage of SA/BCT was presented as stenosis and in 3 cases as SA occlusion. Сlinical picture of vertebrobasilar insufficiency and/or upper limb ischemia took place in 97% of patients. Ultrasound diagnostics of aortic arch branches showed high informativity of the method in revealing the degree of the SA/BCT damage. Technical success was achieved in 94% of cases. Twenty seven (93%) patients were examined in dynamics, with average term of observation of 16 months [12, 30]. On color-coded duplex scanning, re-stenosis was detected in 18.5% of observations (5 patients). Re-stenosis was clinical asymptomatic in 3 of 5 patients. Smoking was found to be the only significant risk factor associated with re-stenosis.
About the authors
Z. A. Suslina
Research Centre of Neurology
Email: andreychechetkin@gmail.com
Russian Federation, Moscow
Andrey O. Chechetkin
Research Center of Neurology
Email: andreychechetkin@gmail.com
ORCID iD: 0000-0002-8726-8928
D. Sci. (Med.), Head, Ultrasound diagnostic laboratory
Russian Federation, MoscowG. I. Kunzevich
Research Center of Neurology
Email: andreychechetkin@gmail.com
Russian Federation, Moscow
Sergey I. Skrylev
Research Center of Neurology
Email: andreychechetkin@gmail.com
Russian Federation, Moscow
S. V. Protsky
Research Center of Neurology
Email: andreychechetkin@gmail.com
Russian Federation, Moscow
Aleksandr Yu. Koshcheev
Research Center of Neurology
Email: andreychechetkin@gmail.com
ORCID iD: 0000-0003-0160-7499
Cand. Sci. (Med.), cardiovascular surgeon, Group of vascular and endovascular surgery
Russian Federation, 125367 Moscow, Volokolamskoye shosse, 80Vladimir L. Shchipakin
Research Center of Neurology
Email: andreychechetkin@gmail.com
ORCID iD: 0000-0003-1428-2769
Cand. Sci. (Med.), Head, Group of vascular and endovascular surgery, senior researcher, Institute of Clinical and Preventive Neurology
Russian Federation, MoscowOlga V. Lagoda
Research Center of Neurology
Author for correspondence.
Email: andreychechetkin@gmail.com
ORCID iD: 0000-0001-7562-4991
Cand. Sci. (Med.), senior researcher, 1st Neurological department, Institute of Clinical and Preventive Neurology
Russian Federation, MoscowAlexey V. Krasnikov
Research Center of Neurology
Email: andreychechetkin@gmail.com
Russian Federation, Moscow
References
- Верещагин Н.В. Патология вертебрально-базилярной системы и нарушения мозгового кровообращения. М.: Медицина, 1980.
- Волков С.В., Антонов Г.И., Лазарев В.А. и др. Баллонная ангиопластика и стентирование при стенотических поражениях брахиоцефальных артерий. http://www.neuro.neva.ru/Russian/Issues/Articles_1_2006/2003.files/ 06.htm.
- Кавтеладзе З.А., Артамонова Ю.В., Бабунашвили А.М. и др. Ангиопластика и эндопротезирование стенотических поражений подключичных артерий. Междунар. журн. интервенционной кардиоангиологии. (Тез. III Рос. съезда интервенционных кардиоан- гиологов). М.: 2008; 14: 43–44.
- Покровский А.В., Калинин А.А. Хроническая ишемия верхних конечностей. В кн.: Покровский А.В. (ред.) Клиническая ангиология. Т. 2. М.: Медицина, 2004: 287–295.
- Amor M., Eid-Lidt G., Chati Z., Wilentz J. Endovascular treatment of the subclavian artery: stent implantation with or without predilatation. Catheter Cardiovasc. Interv. 2004; 63: 364–370.
- Bates M., Broce M., Lavigne P., Stone P. Subclavian artery stenting: factors influencing long-term outcome. Catheter Cardiovasc. Interv. 2004; 61: 5–11.
- Broadbent L., Moran Ch., Cross D., Derdeyn C. Management of ruptures complicating angioplasty and stenting of supraaortic arteries: report of two cases and a review of the literature. Am. J. Neuroradiol. 2003; 24: 2057–2061.
- Filippo F., Francesco M., Francesco R. et al. Percutaneous angioplasty and stenting of left subclavian artery lesions for the treatment of patients with concomitant vertebral and coronary subclavian steal syndrome. Cardiovasc. Intervent. Radiol. 2006; 29: 348–353.
- Hadjipetrou P., Cox S., Piemonte Th., Eisenhauer A. Percutaneous Revascularization of atherosclerotic obstruction of aortic arch vessels. JACC 1999; 33: 1238–1245.
- Henry M., Amor M., Henry I. et al. Percutaneous transluminal angioplasty of the subclavian arteries. J. Endovasc. Surg. 1999; 6: 33–41.
- Jagger J., Mathias D., Kempkes U. Bilateral subclavian steal syndrome: treatment with percutaneous transluminal angioplasty and stent placement. Ibid. 1994; 17: 328–332.
- Kablak-Ziembicka A., Przewlocki T., Pieniazek P. et al. Ultrasonography in suspected subclavian artery obstruction and in patient monitoring after subclavian stenting. Cardiovasc. Intervent. Radiol. 2007; 30: 894–900.
- Kandarpa K., Becker G., Hunink M. et al. Transcatheter interventions for the treatment of peripheral atherosclerotic lesions: part 1. J. Vasc. Interv. Radiol. 2001; 12: 683–695.
- Kumar K., Dorros G., Bates M. et al. Primary stent deployment in occlusive subclavian artery disease. Cathet. Cardiovasc. Diagn. 1995; 34: 281–285.
- Martinez R., Rodriguez-Lopez J., Torruella L. et al. Stenting for occlusion of the subclavian arteries. Technical aspects and follow-up results. Tex. Heart Inst. J. 1997; 24: 23–27.
- Päivänsalo M., Heikkilд O., Tikkakoski T. et al. Duplex ultrasound in the subclavian steal syndrome. Acta Radiol. 1998; 39: 183–188.
- Querd L., Criado F. The treatment of focal aortic arch branch lesions with Palmaz stent. J. Vasc. Surg. 1996; 23: 368–375.
- Reivich M., Holling H., Roberts B., Toole J. Reversal of blood flow through the vertebral artery and its effect on the cerebral circulation. N. Engl. J. Med. 1961; 265: 878-885.
- Rodriguez-Lopes J., Werner A., Martinez R. et al. Stenting for atherosclerotic occlusive disease of the subclavian artery. Ann. Vasc. Surg. 1999; 13: 254–260.
- Rogers C., Edelman E. Endovascular stent design dictates experimental restenosis and thrombosis. Circulation 1995; 91: 2995–3001.
- Sadato A., Satow T., Ishii A. et al. Endovascular recanalization of subclavian artery occlusions. Neurol. Med. Chir. 2004; 44: 447–453.
- Schillinger M., Haumer M., Schillinger S. et al. Risk stratification for subclavian artery angioplasty: is there an increased rate of restenosis after stent implantation? J. Endovasc. Ther. 2001; 8: 550–557.
- Schwend R., Hambsch K., Baker L. et al. Carotid steal syndrome: A case study. J. Neuroimaging 1995; 5: 195–197.
- Sheiban I., Dharmadhikari A., Melissano G. et al. Subclavian artery stenting: Immediate and mid term clinical follow-up results. Int. J. Cardiovasc. Intervent. 2000; 3: 231–235.
- Smith J., Koury H., Hafner C., Welling R. Subclavian steal syndrome – a review of 59 consecutive cases. J. Cardiovasc. Surg. 1994; 35: 11–14.
- Taylor R., Siddiq F., Suri M. et al. Risk factors for in-stent restenosis after vertebral ostium stenting. J. Endovasc. Ther. 2008; 15: 203–212.
- Tyagis S., Verna P., Gambhir D. et al. Early and long-term results of subclavian angioplasty in aortoarteriitis (Takaysu disease): comparison with atherosclerosis. Cardiovasc. Intervent. Radiol. 1998; 21: 219–224.
- Woo E., Fairman R., Velazquez O. et al. Endovascular therapy of symptomatic innominate-subclavian arterial occlusive lesions. Vasc. Endovasc. Surg. 2006; 40: 27–33.
- Yip P., Liu H., Hwang B., Chen R. Subclavian steal phenomenon: a correlation between duplex sonographic and angiographic findings. Neuroradiol. 1992; 34: 279–282.