A Case of Tandem Plug Embolization for an Aberrant Right Subclavian Artery during Debranching Thoracic Endovascular Aortic Repair

Onzuka, Tatsushi; Oishi, Yoshifumi; Uchiyama, Hikaru; Ochiai, Yoshie; Nakashima, Atsuhiro; Shinozaki, K.

doi:10.3400/avd.cr.16-00011

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Aberrant right subclavian artery is the most common aortic arch pathology with 0.5%-2.0% incidence in population 7,8 . In patients who have ARSA together with thoracoabdominal aneurysms ARSA embolization is necessary to prevent endoleak whom receive TEVAR 4 . Also, the ARSA should be revascularized to prevent ischemic complications in the upper limbs or vertebrobasilar area and the risk of aneurysmal dilatation and rupture 8 .…”

Section: Discussionmentioning

confidence: 99%

“…In the treatment of zone 2 thoracic endovascular aortic repair, revascularization of the left subclavian artery (LSA) decreases the ischemic complications such as stroke, spinal cord ischemia, and upper extremity ischemia as well as LSA related type 2 endoleaks 3 . Also, in the case of the presence of aberrant right subclavian artery (ARSA), the embolization of ARSA is necessary to prevent endoleak when TEVAR is performed following debranching 4 .…”

Section: Introductionmentioning

confidence: 99%

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La revascularización de la arteria subclavia izquierda con un bypass axiloaxilar cruzado para la reparación híbrida de aneurismas de la aorta torácica

Melis-Oztas¹,

Akif-Onalan²,

Ekiz³

et al. 2022

CIRU

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

La revascularización de la arteria subclavia izquierda con un bypass axiloaxilar cruzado para la reparación híbrida de aneurismas de la aorta torácica

Melis-Oztas¹,

Akif-Onalan²,

Ekiz³

et al. 2022

CIRU

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Hybrid management of aberrant subclavian artery: A systematic review and meta-analysis

Kordzadeh,

Mouhsen,

Chan

et al. 2024

Vascular

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Objective To elucidate the short- and long-term mortality, morbidity, and endoleak incidences in the hybrid management of aberrant subclavian artery (ASA). Methods A systematic review and meta-analysis of 99 articles comprising n = 272 cases using PRISMA were supplemented by Cohen’s Kappa for assessor consistency. The analysis involved a random-effect model, odds ratios (ORs) with 95% confidence intervals, tests of heterogeneity, and probability. This review was registered with the International Prospective Register of Systematic Reviews (CRD42023405011). Results The 30-day mortality was 4.6% (95% CI: 1.4%–14.4%) with an overall mortality of 7.3% (95% CI: 2.9%–18.7%) demonstrating a 1.2% increase in mortality per decade of life beyond 60 years. The reported morbidity was 7.6% (95% CI: 3.7%–15.7%) and higher in males albeit higher age ( p < .05) (67 vs 59 years). The endoleak incidence stood at 7.8% (95% CI: 3.3%–18.3%) with Type-I the as prominent (48%). Rupture presentation was in 3%, whilst esophageal fistulation ( n = 2/3) was associated with morbidity of 66%. Treatment varied, with TEVAR and carotid-subclavian bypass being the most common modality of the choice. The median follow-up was 12 months (IQR, 1–60 months). Conclusion The observed incidence of mortality, morbidity, and endoleak shows the current role of the hybrid approach in managing ASA. These results emphasize the critical role of detailed surgical planning, combined endovascular and open expertise, and the necessity for a common registry to monitor long-term outcomes.

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A Case of Tandem Plug Embolization for an Aberrant Right Subclavian Artery during Debranching Thoracic Endovascular Aortic Repair

Cited by 2 publications

References 5 publications

La revascularización de la arteria subclavia izquierda con un bypass axiloaxilar cruzado para la reparación híbrida de aneurismas de la aorta torácica

La revascularización de la arteria subclavia izquierda con un bypass axiloaxilar cruzado para la reparación híbrida de aneurismas de la aorta torácica

Hybrid management of aberrant subclavian artery: A systematic review and meta-analysis

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