TITLE:
Endovascular Treatment of Brachiocephalic and Subclavian Arterial Disease
AUTHORS:
Yasutaka Baba, Sadao Hayashi, Hiroyuki Yamamoto, Yutaka Imoto, Masayuki Nakajo
KEYWORDS:
Stentgraft; Brachiocephalic Artery; Subclavian Artery; Pseudoaneurysm
JOURNAL NAME:
Open Journal of Radiology,
Vol.3 No.1,
March
12,
2013
ABSTRACT: Objectives: To review our experience of stentgraft deployment for vascular aneurysm or pseudoaneurysm of the brachiocephalic or subclavian artery. Methods: Participants comprised 7 patients (4 men, 3 women; mean age, 61 years; range, 47 - 76 years) who underwent endovascular repair of brachiocephalic or subclavian arterial vascular lesions between July 2001 and November 2008. Causes of vascular lesions were: traffic accident, n = 4; infection, n = 2; and post-irradiation state of esophageal cancer, n = 1. Safety, technical success, and clinical follow-up were evaluated. Results: Stentgraft deployment was successful in all cases. No complications related to stent fracture were encountered during follow-up (up to 2308 days). One male patient with esophageal cancer died of rebleeding from the tracheostomy hole 13 days after treatment with size mismatch between the stentgraft and brachiocephalic artery. Conclusion: Stentgraft deployment represents acceptable treatment for the injured brachiocephalic artery or proximal side of the subclavian artery.