ISSN: 1859 - 2872
Endovascular treatment of subclavian artery occlusion
Main Article Content
Keywords
Abstract
Objective: To evaluate the outcomes of endovascular stent placement for the treatment of complete subclavian artery occlusion caused by atherosclerosis. Subject and method: This retrospective case series included 17 patients with symptomatic complete subclavian artery occlusion who underwent endovascular stent placement at the University Medical Center Ho Chi Minh City between November 2021 and November 2025. Patients were followed up at 3, 6, and 12 months after the procedure and annually thereafter. Technical success, clinical outcomes, primary patency, and procedure-related complications were assessed. Result: The technical success rate was 94.1%. Primary patency rates at 12 and 36 months were both 88.2%. One patient (5.9%) developed restenosis at 12 months. No procedure-related mortality or major perioperative complications were observed. Conclusion: When performed by experienced operators, percutaneous revascularization with primary stent placement is a safe and effective treatment option for symptomatic complete occlusion of the proximal subclavian artery, particularly in patients with significant comorbidities.
Article Details
References
2. Schillinger M, Haumer M, Schillinger S, Ahmadi R, Minar E (2001) Risk stratification for subclavian artery angioplasty: Is there an increased rate of restenosis after stent implantation. J Endovasc Ther 8: 550-557.
3. Lucia Mazzolai , Gisela Teixido-Tura , Stefano Lanzi et al (2024) 2024 ESC Guidelines for the management of peripheral arterial and aortic diseases: Developed by the task force on the management of peripheral arterial and aortic diseases of the European Society of Cardiology (ESC), 3562-3564.
4. Hennerici M, Klemm C, Rautenberg W (1988) The subclavian steal phenomenon: a common vascular disorder with rare nerologic deficits. Neurology 38: 669-673.
5. Akinori Miyakoshi, Taketo Hatano,Tetsuya Tsukahara,Mamoru Murakami,Daisuke Arai,Susumu Yamaguchi (2012) Percutaneous transluminal angioplasty for atherosclerotic stenosis of the subclavian or innominate artery: angiographic and clinical outcomes in 36 patients. Neurosurg Rev 35:121-126.
6. WANG Ke-qin et al (2010) Long-term results of endovascular therapy for proximal subclavian arterial obstructive lesions. Chinese Medical Journal 123(1): 45-50.
7. Henry M, Henry I, Klonaris C (2004) Percutaneous transluminal angioplasty of the subclavian arteries. In: Henry M, Okhi T,Polydorou A, Strigaris K, Kiskins D, editors. Angioplasty and Stenting of the Carotid and Supra Aortic Trunks. London: Martin Dunitz: 655–671.
8. Henry M, Amor M, Henry I, Ethevenot G, Tzvetanov K, Chati Z et al (1999) Percutaneous transluminal angioplasty of the subclavian arteries. J Endovasc Surg 6: 33–41.
9. De Vries JP, Jager LC, Van den Berg JC (2005) Durability of percutaneous transluminal angioplasty for obstructive lesions of proximal subclavian artery: Long-term results. J Vasc Surg 41: 19-23.
Article Sidebar
