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CardioVascular and Interventional Radiology

Erschienen in:

01.06.2006

Percutaneous Angioplasty and Stenting of left Subclavian Artery Lesions for the Treatment of Patients with Concomitant Vertebral and Coronary Subclavian Steal Syndrome

verfasst von: Ferrara Filippo, Meli Francesco, Raimondi Francesco, Amato Corrado, Mina’ Chiara, Cospite Valentina, Novo Giuseppina, Novo Salvatore

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 3/2006

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Abstract

Objective

To evaluate the efficacy of subclavian stenosis percutaneous transfemoral angioplasty (PTA)-treatment in patients with intermittent or complete subclavian steal syndrome (SSS), and coronary-subclavian steal syndrome (C-SSS) after left internal mammary artery-interventricular anterior artery (LIMA-IVA) by pass graft.

Methods

We studied 42 patients with coronary subclavian steal syndrome subdivided in two groups; the first group consisted of 15 patients who presented an intermittent vertebral-subclavian steal, while the second group consisted of 27 patients with a complete vertebral-subclavian steal. All patients were treated with angioplasty and stent application and were followed up for a period of 5 years by echocolordoppler examination to evaluate any subclavian restenosis.

Results

Subclavian restenosis was significantly increased in patients with a complete subclavian steal syndrome. The restenosis rate was 6.67% in the first group and 40.75% in the second group, These patients had 9.1 fold-increase risk (CI confidence interval 0.95–86.48) in restenosis.

Conclusion

Patients with a complete subclavian and coronary steal syndrome present a higher risk of subclavian restenosis.

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Titel: Percutaneous Angioplasty and Stenting of left Subclavian Artery Lesions for the Treatment of Patients with Concomitant Vertebral and Coronary Subclavian Steal Syndrome
verfasst von: Ferrara Filippo
Meli Francesco
Raimondi Francesco
Amato Corrado
Mina’ Chiara
Cospite Valentina
Novo Giuseppina
Novo Salvatore
Publikationsdatum: 01.06.2006
Verlag: Springer-Verlag
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 3/2006
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-004-0265-4

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Percutaneous Angioplasty and Stenting of left Subclavian Artery Lesions for the Treatment of Patients with Concomitant Vertebral and Coronary Subclavian Steal Syndrome