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Endovascular and hybrid treatments for subclavian artery aneurysms

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Vasc Surg, 45 Changchun St, Beijing 100053, Peoples R China
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关键词: Covered stent Coil embolization Endovascular treatment Hybrid Subclavian artery aneurysm

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OBJECTIVE: This paper retrospectively reviews our experience with endovascular and hybrid treatments for subclavian artery aneurysms (SAA). METHODS: Seventeen patients with SAAs were treated at our center between July 2011 and October 2018. Clinical and follow-up data were extracted from the hospital records and retrospectively reviewed. We routinely use endovascular treatments and stenting or axillary-axillary bypass to treat SAA if vertebral artery blood flow requires restoration. Patients were followed up at 3, 6, and 12 months after their operations and yearly thereafter. RESULTS: Median follow-up was 30.5 months. In 6 patients, the SAAs involved the ipsilateral vertebral artery. Simple coil embolization was performed for 1 patient; endovascular covered stenting and coil embolization for 4 patients; and hybrid treatment for 1 patient. In 11 patients, the SAAs did not involve the ipsilateral vertebral artery. Hybrid treatment was performed for 1 patient; thoracic aortic stent implantation with coil embolization for 1 patient; and covered stent placement in the subclavian artery for 9 patients. Among the 9 patients who were symptomatic at presentation, 8 had relief of symptoms. Leakage was observed in 1 patient, but it stopped spontaneously. Stent occlusion occurred in 18.8% (3/16), but all were asymptomatic, and no interventions were necessary. CONCLUSION: Endovascular and hybrid treatments appear to be effective for SAAs with few complications and good clinical outcomes.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 外科
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 外科
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出版当年[2019]版:
Q4 SURGERY
最新[2023]版:
Q3 SURGERY

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Vasc Surg, 45 Changchun St, Beijing 100053, Peoples R China
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