Stenting for proximal subclavian and brachiocephalic artery occlusion. Preliminary results

H. Sakaida, N. Sakai, I. Nagata, H. Sakai, Koji Iihara, T. Higashi, S. Kogure, J. Takahashi, H. Ohta, T. Nagamine, R. Anei, A. Soeda, A. Taniguchi, A. Shindo, H. Kikuchi

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The authors report the initial results, between January 1998 and February 2001, of stenting utilizing the brachial approach in seven patients for total occlusions at the following locations: two right subclavian, one brachiocephalic, and five left subclavian arteries. All lesions were associated with subclavian steal syndrome. Indications for the treatment included ischemic symptoms in the affected arm (seven patients), and vertebrobasilar insufficiency (five patients). A total of eight stents were implanted in six occluded arteries, resulting in a 75% procedural success rate. Procedural complications encountered were two subintimal dissections by a 0.035-inch guide wire during recanalization, and one stent dislodgement with migration. There was no stroke, presumably because of the previously reported preventive effect of delayed reversal of a stealing vertebral artery. Follow-up over a mean duration of 11 months revealed no sign or symptom of recurrence in cases with initial technical success. The results of the current study, with a literature survey, indicated that percutaneous transluminal angioplasty with primary stent deployment in an occluded prevertebral segment of the subclavian or the brachiocephalic artery should be considered as an available choice for treatment. Further points, such as some remaining technical and clinical problems, will require more experience and consideration.

Original languageEnglish
Pages (from-to)717-725
Number of pages9
JournalNeurological Surgery
Volume29
Issue number8
Publication statusPublished - Sep 12 2001
Externally publishedYes

Fingerprint

Subclavian Artery
Stents
Arteries
Subclavian Steal Syndrome
Vertebrobasilar Insufficiency
Theft
Vertebral Artery
Angioplasty
Signs and Symptoms
Dissection
Arm
Stroke
Recurrence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Sakaida, H., Sakai, N., Nagata, I., Sakai, H., Iihara, K., Higashi, T., ... Kikuchi, H. (2001). Stenting for proximal subclavian and brachiocephalic artery occlusion. Preliminary results. Neurological Surgery, 29(8), 717-725.

Stenting for proximal subclavian and brachiocephalic artery occlusion. Preliminary results. / Sakaida, H.; Sakai, N.; Nagata, I.; Sakai, H.; Iihara, Koji; Higashi, T.; Kogure, S.; Takahashi, J.; Ohta, H.; Nagamine, T.; Anei, R.; Soeda, A.; Taniguchi, A.; Shindo, A.; Kikuchi, H.

In: Neurological Surgery, Vol. 29, No. 8, 12.09.2001, p. 717-725.

Research output: Contribution to journalArticle

Sakaida, H, Sakai, N, Nagata, I, Sakai, H, Iihara, K, Higashi, T, Kogure, S, Takahashi, J, Ohta, H, Nagamine, T, Anei, R, Soeda, A, Taniguchi, A, Shindo, A & Kikuchi, H 2001, 'Stenting for proximal subclavian and brachiocephalic artery occlusion. Preliminary results', Neurological Surgery, vol. 29, no. 8, pp. 717-725.
Sakaida H, Sakai N, Nagata I, Sakai H, Iihara K, Higashi T et al. Stenting for proximal subclavian and brachiocephalic artery occlusion. Preliminary results. Neurological Surgery. 2001 Sep 12;29(8):717-725.
Sakaida, H. ; Sakai, N. ; Nagata, I. ; Sakai, H. ; Iihara, Koji ; Higashi, T. ; Kogure, S. ; Takahashi, J. ; Ohta, H. ; Nagamine, T. ; Anei, R. ; Soeda, A. ; Taniguchi, A. ; Shindo, A. ; Kikuchi, H. / Stenting for proximal subclavian and brachiocephalic artery occlusion. Preliminary results. In: Neurological Surgery. 2001 ; Vol. 29, No. 8. pp. 717-725.
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