1999
DOI: 10.1016/s0735-1097(98)00690-1
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Percutaneous revascularization of atherosclerotic obstruction of aortic arch vessels

Abstract: Subclavian or brachiocephalic artery obstruction can be effectively treated by primary stenting or surgery. Comparison of stenting and the surgical experience demonstrates equal effectiveness but fewer complications and suggests that stenting should be considered as first line therapy for subclavian or brachiocephalic obstruction.

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Cited by 149 publications
(85 citation statements)
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“…Freedom from recurrent symptoms was greater in the surgical bypass group (p<0.0001). 333 Balloon angioplasty and stenting are associated with high rates of success and better outcomes than angioplasty alone, [334][335][336][337][338][339] which makes endovascular stenting an alternative to open surgery in patients with obstructive disease of the subclavian or brachiocephalic arteries. Numerous reports suggest that angioplasty and stenting of the subclavian and brachiocephalic arteries can be performed with a high degree of technical success and safety, but long-term followup data are scant.…”
Section: Revascularization Of the Brachiocephalic And Subclavian Artementioning
confidence: 99%
“…Freedom from recurrent symptoms was greater in the surgical bypass group (p<0.0001). 333 Balloon angioplasty and stenting are associated with high rates of success and better outcomes than angioplasty alone, [334][335][336][337][338][339] which makes endovascular stenting an alternative to open surgery in patients with obstructive disease of the subclavian or brachiocephalic arteries. Numerous reports suggest that angioplasty and stenting of the subclavian and brachiocephalic arteries can be performed with a high degree of technical success and safety, but long-term followup data are scant.…”
Section: Revascularization Of the Brachiocephalic And Subclavian Artementioning
confidence: 99%
“…In a meta-analysis performed by Hadjipetrou et al, 2 evaluating the open surgical outcome in subclavian and brachiocephalic artery obstruction in Ͼ2000 patients, the mortality rate was 3%, the stroke rate was 2%, and the overall complication rate was 16%.…”
Section: Discussionmentioning
confidence: 99%
“…1,2 Standard open surgical procedures are now mostly reserved for extensive multivessel involvement or after failed endovascular procedures.…”
mentioning
confidence: 99%
“…Although the initial success rate of PTA is high, the long-term angiographic patency is unclear and not ac- ceptable in many reports [26,41]. The use of stents appears to improve both acute and long-term results [42].…”
Section: Discussionmentioning
confidence: 99%