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Percutaneous transluminal angioplasty for occlusion of the subclavian artery: Short-and long-term results

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Abstract

Percutaneous transluminal angioplasty was performed in 8 symptomatic patients with proximal occlusion of the left subclavian artery. Technical and short-term clinical success was achieved in 7 cases. Nonoccluding embolization to the distal subclavian artery and stenosis of the brachial artery after a combined femoral/brachial approach occurred as complications in 2 patients. Three patients are asymptomatic with a patent subclavian artery 25, 28, and 37 months after angioplasty. Reobstructions in 4 patients occurring after 8, 12, and 16 months were retreated by angioplasty (3 patients) and stent implantation (1 patient with a second restenosis) with good technical and clinical success. Long-term patency was less than 50%, but successful retreatment is feasible. Therefore, we consider percutaneous transluminal angioplasty a reasonable therapeutic option in patients who are not surgical candidates.

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Authors and Affiliations

  1. Medizinische Klinik und Poliklinik, Universitätskliniken, Mainz, Germany

    Helmut Kopp

  2. Klinik für herz.-Thorax-und Gefäßchirurgie, Universitätskliniken, Mainz, Germany

    Walter Schmiedt

  3. Institut für Klinische Strahlenkunde, Universitätskliniken, Langenbeckstraße 1, 65, Mainz, Germany

    Christoph Düber & Klaus Jochen Klose

Authors
  1. Christoph Düber
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  2. Klaus Jochen Klose
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  3. Helmut Kopp
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  4. Walter Schmiedt
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Düber, C., Jochen Klose, K., Kopp, H. et al. Percutaneous transluminal angioplasty for occlusion of the subclavian artery: Short-and long-term results. Cardiovasc Intervent Radiol 15, 205–210 (1992). https://doi.org/10.1007/BF02733923

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  • DOI: https://doi.org/10.1007/BF02733923

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