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CardioVascular and Interventional Radiology

, Volume 35, Issue 2, pp 255–262 | Cite as

Initial and Long-Term Results of Endovascular Therapy for Chronic Total Occlusion of the Subclavian Artery

  • Srdjan Babic
  • Dragan Sagic
  • Djordje Radak
  • Zelimir Antonic
  • Petar Otasevic
  • Vladimir Kovacevic
  • Slobodan Tanaskovic
  • Dusan Ruzicic
  • Nikola Aleksic
  • Goran Vucurevic
Clinical Investigation

Abstract

Purpose

To study the initial and long-term results of angioplasty and primary stenting for the treatment of chronic total occlusion (CTO) of the subclavian artery (SA).

Materials and Methods

From January 1999 to February 2010, 56 patients (25 men with a mean age of 58 ± 8 years) underwent endovascular treatment for CTO of the SA. Duplex scans and arteriograms confirmed occlusion in all cases. Indications for recanalization were subclavian steal syndrome in 33 patients (58.1%), arm claudication in 13 patients (23.2%), and coronary ischemia in 7 patients (12.5%) who had a history of previous coronary artery bypass grafting that included left internal thoracic artery graft. Three patients (5.4%) were treated before the scheduled coronary artery bypass surgery, which included left internal thoracic artery graft. After successful recanalization, all arteries were stented, and all of the patients were followed-up at 1, 3, 6, and 12 months after surgery and annually thereafter.

Results

Successful recanalization of the SA was achieved in 46 patients (82.1%), and the complication rate was 7.1%. During follow-up (mean 40 ± 26 months; range 2 to 125), the primary patency rates after 1 and 3 years were 97.9% and 82.7%, respectively. At the end of follow-up, 76% of the arteries showed no evidence of restenosis. Univariate analysis failed to identify any variable predictive of long-term patency of successfully recanalized SA.

Conclusion

Percutaneous transluminal angioplasty with stenting of the complete total occlusion of the SA is a safe and effective procedure associated with low risks and good long-term results.

Keywords

Clinical practice Angioplasty/angiogram Subclavian artery  Chronic total occlusion Recanalization Peripheral vascular Arteriosclerosis Occlusion 

Notes

Acknowledgments

This manuscript was partly founded by Grant No. 41002 given by Ministry of Science and Technological Development of Republic of Serbia.

Conflict of interest

None.

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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2011

Authors and Affiliations

  • Srdjan Babic
    • 1
  • Dragan Sagic
    • 2
  • Djordje Radak
    • 1
  • Zelimir Antonic
    • 2
  • Petar Otasevic
    • 3
  • Vladimir Kovacevic
    • 2
  • Slobodan Tanaskovic
    • 1
  • Dusan Ruzicic
    • 1
  • Nikola Aleksic
    • 1
  • Goran Vucurevic
    • 1
  1. 1.Department of Vascular SurgeryInstitute for Cardiovascular Disease “Dedinje,”BelgradeSerbia
  2. 2.Department of Interventional RadiologyInstitute for Cardiovascular Disease “Dedinje”BelgradeSerbia
  3. 3.Department of CardiologyInstitute for Cardiovascular Disease “Dedinje”BelgradeSerbia

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