Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Hausegger, KA; Oberwalder, P; Tiesenhausen, K; Tauss, J; Stanger, O; Schedlbauer, P; Deutschmann, H; Rigler, B.
Intentional left subclavian artery occlusion by thoracic aortic stent-grafts without surgical transposition.
J Endovasc Ther. 2001; 8(5):472-476
Doi: 10.1583/1545-1550(2001)008<0472:ILSAOB>2.0.CO;2
(- Case Report)
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- Führende Autor*innen der Med Uni Graz
- Hausegger Klaus
- Co-Autor*innen der Med Uni Graz
- Deutschmann Hannes
- Oberwalder Peter
- Rigler Bruno
- Schedlbauer Peter
- Tauss Josef
- Tiesenhausen Kurt
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- Abstract:
- Purpose: To report the consequences of endoluminal deployment of stent-grafts in the thoracic aorta with intentional occlusion of the left subclavian artery.Case Reports: Three patients with an aortic type-B dissection and 1 with a thoracic 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 and the 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.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Aneurysm, Dissecting - physiopathology Aneurysm, Dissecting - radiography Aneurysm, Dissecting - surgery
- Aortic Aneurysm, Thoracic - physiopathology Aortic Aneurysm, Thoracic - radiography Aortic Aneurysm, Thoracic - surgery
- Arm - blood supply Arm - physiopathology
- Arterial Occlusive Diseases - etiology Arterial Occlusive Diseases - physiopathology Arterial Occlusive Diseases - radiography
- Blood Vessel Prosthesis - adverse effects
- Blood Vessel Prosthesis Implantation - adverse effects
- Collateral Circulation - physiology
- Humans -
- Male -
- Middle Aged -
- Stents - adverse effects
- Subclavian Artery - physiopathology Subclavian Artery - radiography Subclavian Artery - surgery
- Vertebral Artery - physiopathology Vertebral Artery - radiography
- Find related publications in this database (Keywords)
- aortic dissection
- thoracic aortic aneurysm
- Talent endograft
- left vertebral artery
- collateral flow