Immediate and long-term outcome of stenting of proximal parts of aortic arch branches

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Abstract

Complex clinical-ultrasound study was carried our in 29 patients before and after stenting of 29 subclavian arteries (SA) and 2 brachiocephalic trunks (BCT). In 28 cases damage of SA/BCT was presented as stenosis and in 3 cases as SA occlusion. Сlinical picture of vertebrobasilar insufficiency and/or upper limb ischemia took place in 97% of patients. Ultrasound diagnostics of aortic arch branches showed high informativity of the method in revealing the degree of the SA/BCT damage. Technical success was achieved in 94% of cases. Twenty seven (93%) patients were examined in dynamics, with average term of observation of 16 months [12, 30]. On color-coded duplex scanning, re-stenosis was detected in 18.5% of observations (5 patients). Re-stenosis was clinical asymptomatic in 3 of 5 patients. Smoking was found to be the only significant risk factor associated with re-stenosis.

 

About the authors

Z. A. Suslina

Research Centre of Neurology

Email: andreychechetkin@gmail.com
Russian Federation, Moscow

Andrey O. Chechetkin

Research Center of Neurology

Email: andreychechetkin@gmail.com
ORCID iD: 0000-0002-8726-8928

D. Sci. (Med.), Head, Ultrasound diagnostic laboratory

Russian Federation, Moscow

G. I. Kunzevich

Research Center of Neurology

Email: andreychechetkin@gmail.com
Russian Federation, Moscow

Sergey I. Skrylev

Research Center of Neurology

Email: andreychechetkin@gmail.com
Russian Federation, Moscow

S. V. Protsky

Research Center of Neurology

Email: andreychechetkin@gmail.com
Russian Federation, Moscow

Aleksandr Yu. Koshcheev

Research Center of Neurology

Email: andreychechetkin@gmail.com
ORCID iD: 0000-0003-0160-7499

Cand. Sci. (Med.), cardiovascular surgeon, Group of vascular and endovascular surgery

Russian Federation, 125367 Moscow, Volokolamskoye shosse, 80

Vladimir L. Shchipakin

Research Center of Neurology

Email: andreychechetkin@gmail.com
ORCID iD: 0000-0003-1428-2769

Cand. Sci. (Med.), Head, Group of vascular and endovascular surgery, senior researcher, Institute of Clinical and Preventive Neurology

Russian Federation, Moscow

Olga V. Lagoda

Research Center of Neurology

Author for correspondence.
Email: andreychechetkin@gmail.com
ORCID iD: 0000-0001-7562-4991

Cand. Sci. (Med.), senior researcher, 1st Neurological department, Institute of Clinical and Preventive Neurology

Russian Federation, Moscow

Alexey V. Krasnikov

Research Center of Neurology

Email: andreychechetkin@gmail.com
Russian Federation, Moscow

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Copyright (c) 2010 Suslina З.А., Chechetkin A.O., Kuntshevich G.I., Skrylev S.I., Protsky S.V., Koshcheev A.Y., Shchipakin V.L., Lagoda O.V., Krasnikov A.V.

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