open access

Vol 13, No 1 (2011)
Aktualności
Published online: 2011-10-19
Get Citation

Application of a self-expanding stent in the treatment of subclavian artery occlusion — a case study

Krzysztof Pietrzak, Mariusz Góral, Marek Drążkiewicz
Chirurgia Polska 2011;13(1):75-82.

open access

Vol 13, No 1 (2011)
Aktualności
Published online: 2011-10-19

Abstract

Significant stenosis or complete SA subclavian artery occlusion is a relatively rare illness; it occurs in about 0.4% of the population. In 90% of cases atherosclerosis is the cause of subclavian artery (SA) occlusion or stenosis. Occlusion or hemodynamically significant stenosis (> 70%) may lead to the development of symptoms in the form of cerebral ischaemia or upper limb ischaemia. SA stenosis can be treated by both classical techniques and with the use of endovascular techniques. In connection with comparable results of the primary patency and a lower risk of the procedure itself, endovascular techniques are at present the primary treatment of SA stenosis or occlusion. In the presented paper the case of application of the MISAGO (Terumo) self-expanding stent, belonging to the new generation of peripheral self-expanding stents based on a monorail system, in the treatment of a 7 cm long lesion in the proximal left subclavian artery is presented. In the authors’ opinion, long-section lesions require the use of a flexible stent resistant to bending or deflection. The Misago (Terumo) stent can be successfully used in endovascular treatment of extra-ostial lesions of the subclavian artery.
Polish Surgery 2011, 13, 1, 75–82

Abstract

Significant stenosis or complete SA subclavian artery occlusion is a relatively rare illness; it occurs in about 0.4% of the population. In 90% of cases atherosclerosis is the cause of subclavian artery (SA) occlusion or stenosis. Occlusion or hemodynamically significant stenosis (> 70%) may lead to the development of symptoms in the form of cerebral ischaemia or upper limb ischaemia. SA stenosis can be treated by both classical techniques and with the use of endovascular techniques. In connection with comparable results of the primary patency and a lower risk of the procedure itself, endovascular techniques are at present the primary treatment of SA stenosis or occlusion. In the presented paper the case of application of the MISAGO (Terumo) self-expanding stent, belonging to the new generation of peripheral self-expanding stents based on a monorail system, in the treatment of a 7 cm long lesion in the proximal left subclavian artery is presented. In the authors’ opinion, long-section lesions require the use of a flexible stent resistant to bending or deflection. The Misago (Terumo) stent can be successfully used in endovascular treatment of extra-ostial lesions of the subclavian artery.
Polish Surgery 2011, 13, 1, 75–82
Get Citation

Keywords

the subclavian artery occlusion; steal syndrome; angioplasty; stent

About this article
Title

Application of a self-expanding stent in the treatment of subclavian artery occlusion — a case study

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 13, No 1 (2011)

Pages

75-82

Published online

2011-10-19

Bibliographic record

Chirurgia Polska 2011;13(1):75-82.

Keywords

the subclavian artery occlusion
steal syndrome
angioplasty
stent

Authors

Krzysztof Pietrzak
Mariusz Góral
Marek Drążkiewicz

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.

Via MedicaBy "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