Percutaneous Angioplasty and Stenting of left Subclavian Artery Lesions for the Treatment of Patients with Concomitant Vertebral and Coronary Subclavian Steal Syndrome

Journal Article · Thu Jun 15 04:00:00 EDT 2006 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-004-0265-4· OSTI ID:21091236

Filippo, Ferrara; Francesco, Meli ^[1]; Francesco, Raimondi ^[2]; Corrado, Amato ^[3]; Chiara, Mina; Valentina, Cospite ^[4]; Giuseppina, Novo ^[5]; Salvatore, Novo ^[6]

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1. University Medical Hospital of Palermo, Researcher, Department of Angiology (Italy)
2. University Medical Hospital, University of Palermo, Associated Professor, Department of Angiology (Italy)
3. University Medical Hospital of Palermo, Assistant, Department of Angiology (Italy)
4. University Medical Hospital of Palermo, Assistant, Department of Cardiology (Italy)
5. University Medical Hospital of Palermo, Researcher, Department of Cardiology (Italy)
6. University Medical Hospital of Palermo, Full Professor of Cardiovascular Diseases, Department of Cardiology (Italy)

Objective. To evaluate the efficacy of subclavian stenosis percutaneous transfemoral angioplasty (PTA)-treatment in patients with intermittent or complete subclavian steal syndrome (SSS), and coronary-subclavian steal syndrome (C-SSS) after left internal mammary artery-interventricular anterior artery (LIMA-IVA) by pass graft. Methods. We studied 42 patients with coronary subclavian steal syndrome subdivided in two groups; the first group consisted of 15 patients who presented an intermittent vertebral-subclavian steal, while the second group consisted of 27 patients with a complete vertebral-subclavian steal. All patients were treated with angioplasty and stent application and were followed up for a period of 5 years by echocolordoppler examination to evaluate any subclavian restenosis. Results. Subclavian restenosis was significantly increased in patients with a complete subclavian steal syndrome. The restenosis rate was 6.67% in the first group and 40.75% in the second group, These patients had 9.1 fold-increase risk (CI confidence interval 0.95-86.48) in restenosis. Conclusion. Patients with a complete subclavian and coronary steal syndrome present a higher risk of subclavian restenosis.

• OSTI ID: 21091236
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 3 Vol. 29; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
CORONARIES
GRAFTS
HAZARDS
PATIENTS
VASCULAR DISEASES