open access

Vol 7, No 3-4 (2001)
Original papers
Published online: 2002-01-10
Get Citation

Long-term results after percutaneous transluminal angioplasty of the subclavian artery

Tomasz Ostrowski, Waldemar Macioch, Andrzej K. Małek, Maciej Skórski, Krzysztof Krępski, Olgierd Rowiński, Michał Elwertowski, Mieczysław Szostek
Acta Angiologica 2001;7(3-4):99-104.

open access

Vol 7, No 3-4 (2001)
Original papers
Published online: 2002-01-10

Abstract

Introduction. Subclavian steal syndrome is a clinical problem of great importance, in which chronic upper limb ischaemia can cause a deficit of blood supply to the brain. Nowadays surgery is the routine approach to the management of complete subclavian artery (SA) occlusion; in the case of stenosis endovascular procedure is preferable.
Material and methods. We treated 74 patients with percutaneous transluminal angioplasty (PTA) for SA stenosis in our Department in the years 1989–1998 (44 females, 30 male; age 20–71 years, mean 49 years). Good results after angioplasty were obtained in 69 patients (93.2%). Five patients (8.1%) had only a temporary improvement but they refused further procedures. Analysis of the long-term results after SA PTA was the aim of the study. Fifty-two patients were followed-up for 16 to 128 months (mean 51 months).
Results. Thirty-nine patients (75%) had clinical improvement and normal vertebral artery blood flow direction confirmed by duplex-doppler, as well as equal brachial pressures. None of the patients complained of any signs of chronic brain or hand ischaemia. During follow-up 8 patients (15.4%) were diagnosed with subclavian artery stenosis, however lesser than 50%, causing a difference of brachial pressure up to 20 mm Hg.

Abstract

Introduction. Subclavian steal syndrome is a clinical problem of great importance, in which chronic upper limb ischaemia can cause a deficit of blood supply to the brain. Nowadays surgery is the routine approach to the management of complete subclavian artery (SA) occlusion; in the case of stenosis endovascular procedure is preferable.
Material and methods. We treated 74 patients with percutaneous transluminal angioplasty (PTA) for SA stenosis in our Department in the years 1989–1998 (44 females, 30 male; age 20–71 years, mean 49 years). Good results after angioplasty were obtained in 69 patients (93.2%). Five patients (8.1%) had only a temporary improvement but they refused further procedures. Analysis of the long-term results after SA PTA was the aim of the study. Fifty-two patients were followed-up for 16 to 128 months (mean 51 months).
Results. Thirty-nine patients (75%) had clinical improvement and normal vertebral artery blood flow direction confirmed by duplex-doppler, as well as equal brachial pressures. None of the patients complained of any signs of chronic brain or hand ischaemia. During follow-up 8 patients (15.4%) were diagnosed with subclavian artery stenosis, however lesser than 50%, causing a difference of brachial pressure up to 20 mm Hg.
Citation Formats

Keywords

subclavian steal syndrome; percutaneous angioplasty

About this article
Title

Long-term results after percutaneous transluminal angioplasty of the subclavian artery

Journal

Acta Angiologica

Issue

Vol 7, No 3-4 (2001)

Pages

99-104

Published online

2002-01-10

Bibliographic record

Acta Angiologica 2001;7(3-4):99-104.

Keywords

subclavian steal syndrome
percutaneous angioplasty

Authors

Tomasz Ostrowski
Waldemar Macioch
Andrzej K. Małek
Maciej Skórski
Krzysztof Krępski
Olgierd Rowiński
Michał Elwertowski
Mieczysław Szostek

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl