Percutaneous Endovascular Treatment of Innominate Artery Lesions: A Single-centre Experience on 77 Lesions

Abstract Purpose To assess primary success and safety of percutaneous transluminal angioplasty and/or stenting of innominate artery lesions and to compare its 30-day stroke/mortality level with the literature data. Methods A total of 72 patients (77 stenoses, five recurrent, 58 symptomatic and 39 fe...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2010-07, Vol.40 (1), p.35-43
Main Authors: Paukovits, T.M, Lukács, L, Bérczi, V, Hirschberg, K, Nemes, B, Hüttl, K
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Angioplasty
Angioplasty, Balloon - adverse effects
Angioplasty, Balloon - instrumentation
Angioplasty, Balloon - mortality
Arterial Occlusive Diseases - diagnosis
Arterial Occlusive Diseases - mortality
Arterial Occlusive Diseases - physiopathology
Arterial Occlusive Diseases - therapy
Brachiocephalic trunk
Brachiocephalic Trunk - diagnostic imaging
Brachiocephalic Trunk - physiopathology
Constriction, Pathologic
Female
Humans
Hungary
Innominate artery
Kaplan-Meier Estimate
Male
Middle Aged
Neurologic Examination
Neurological complications
Patency rate
Percutaneous intervention
Radiography
Retrospective Studies
Risk Assessment
Risk Factors
Stents
Stroke - etiology
Surgery
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Duplex
Vascular Patency
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Summary:Abstract Purpose To assess primary success and safety of percutaneous transluminal angioplasty and/or stenting of innominate artery lesions and to compare its 30-day stroke/mortality level with the literature data. Methods A total of 72 patients (77 stenoses, five recurrent, 58 symptomatic and 39 female) with seven innominate vessel occlusions, nine subocclusive lesions and 61 significant (>60%) stenoses of innominate artery treated between 2000 and 2009 were retrospectively reviewed. With the exception of seven, all procedures were performed using a transfemoral approach. A stent was implanted in 49 (63.6%) cases. Follow-up included neurological examination, carotid duplex scan and office/telephone interview. Results Primary technical success was 93.5% (72/77). There was neither periprocedural (
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2010.03.017