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

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ID Serval
serval:BIB_7289ACA7D482
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
How to manage the left subclavian artery during endovascular stenting of the thoracic aorta.
Périodique
European Journal of Cardio-thoracic Surgery
Auteur⸱e⸱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
Statut éditorial
Publié
Date de publication
2011
Volume
39
Numéro
4
Pages
507-518
Langue
anglais
Résumé
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
Oui
Création de la notice
06/05/2011 13:50
Dernière modification de la notice
14/02/2022 7:55
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