How to manage the left subclavian artery during endovascular stenting of the thoracic aorta.

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Serval ID
serval:BIB_7289ACA7D482
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
How to manage the left subclavian artery during endovascular stenting of the thoracic aorta.
Journal
European Journal of Cardio-thoracic Surgery
Author(s)
Rehman S.M., Vecht J.A., Perera R., Jalil R., Saso S., Anderson J.R., von Segesser L.K., Athanasiou T.
ISSN
1873-734X (Electronic)
ISSN-L
1010-7940
Publication state
Published
Issued date
2011
Volume
39
Number
4
Pages
507-518
Language
english
Abstract
We performed a systematic review of the literature to establish whether revascularisation of the left subclavian territory is necessary when this artery is covered by a stent. We retrieved data from 99 studies incorporating 4906 patients. Incidences of left-arm ischaemia (0.0% vs 9.2%, p=0.002) and stroke (4.7% vs 7.2%, p<0.001) were significantly less following revascularisation, although mortality (10.5% vs 3.4%, p=0.032) and endoleak incidence (25.8% vs 12.6%, p=0.008) were increased. No significant differences in spinal-cord ischaemia were seen. Revascularisation may reduce downstream ischaemic complications but can cause significant risk. Indications must be carefully considered on an individual patient basis.
Pubmed
Web of science
Open Access
Yes
Create date
06/05/2011 13:50
Last modification date
25/09/2019 6:09
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