Endovascular therapy for steno-occlusive subclavian artery disease early and long-term outcomes in a multicentric Tunisian study
Articolo
Data di Pubblicazione:
2022
Citazione:
Endovascular therapy for steno-occlusive subclavian artery disease early and long-term outcomes in a multicentric Tunisian study / I.B. Mrad, R. Miri, D. Mazzaccaro, M.B. Mrad, S. Mleyhi, I. Zairi, R. Hammami, G. Nano, S. Kraiem, R. Denguir. - In: ANNALI ITALIANI DI CHIRURGIA. - ISSN 2239-253X. - 93:4(2022), pp. 470-475.
Abstract:
AIM: To evaluate the outcomes of endovascular therapy in patients with subclavian steno-occlusive disease over the short
and long term in a Tunisian population.
MATERIALS AND METHODS: Patients who underwent endovascular treatment of subclavian artery (SCA) steno-occlusive
disease between 2013 and 2019 in three Tunisian centers were evaluated retrospectively. After treatment, patients were
follow-up was scheduled at 1, 3, 6, 12 months postoperatively and annually afterwards by Doppler ultrasound and clin-
ical findings. Primary outcomes included technical, clinical procedural success rates and limb salvage rate. Secondary out-
comes included the occurrence of periprocedural complications and primary patency rates.
RESULTS: 56 patients (33 males, 58.9%) were evaluated. Patients’ mean age was 61.5 + years. Technical success rate
was 94.6 %, being 100% in case of stenosis and 78.5% in case of occlusion. The technical success rate was 94.6%.
The clinical success rate was 100% and the upper limb salvage rate was 100%. Minor amputations were performed
on 5 patients. Perioperative mortality and morbidity rates were 0% and 8.9% respectively. Mean follow-up was 26.7±16.4
months (range 12-86 months). Two in-stent restenosis occurred (at 12 and 15 months) and one case of thrombosis at
the 16th month. The primary patency rates were 88.7%+4.3% at the end of the first year and 78.7%+6.1% at 3
years.
CONCLUSION: Endovascular treatment can be considered as a safe and effective treatment of SCA steno-occlusive disease,
with low perioperative complication rates and a good patency rates over long term.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Subclavian artery stenosis; Subclavian artery occlusion; endovascular; subclavian revascularization
Elenco autori:
I.B. Mrad, R. Miri, D. Mazzaccaro, M.B. Mrad, S. Mleyhi, I. Zairi, R. Hammami, G. Nano, S. Kraiem, R. Denguir
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