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

З. А. Suslina

Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)

Author for correspondence.
Email: platonova@neurology.ru
Russian Federation

A. O. Chechetkin

Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)

Email: platonova@neurology.ru
Russian Federation

G. I. Kuntshevich

Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)

Email: platonova@neurology.ru
Russian Federation

S. I. Skrylev

Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)

Email: platonova@neurology.ru
Russian Federation

S. V. Protsky

Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)

Email: platonova@neurology.ru
Russian Federation

A. Yu. Koshcheev

Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)

Email: platonova@neurology.ru
Russian Federation

V. L. Shchipakin

Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)

Email: platonova@neurology.ru
Russian Federation

O. V. Lagoda

Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)

Email: platonova@neurology.ru
Russian Federation

A. V. Krasnikov

Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)

Email: platonova@neurology.ru
Russian Federation

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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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